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HEDIS Coordinator
HEDIS CoordinatorAppleOne • Huntington Beach, CA, US
HEDIS Coordinator

HEDIS Coordinator

AppleOne • Huntington Beach, CA, US
9 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

HEDIS Coordinator - 80% remote

Bilingual Korean

Llooking for someone who has more experience / knowledge of the healthcare industry or has dealt with medical records

This position requires 20% travel to provider's office in LA / OC area to retrieve information and scanning and data entry.

  • Key skills / duties making phone calls to providers and data entry
  • Must know how to read medical records / understand medical terminology, such as inpatient vs. outpatient

The HEDIS Coordinator is responsible for assisting with the deployment and implementation of medical retrieval strategies, collecting and tracking medical records from offices and internal systems within in the organization. The HEDIS Reviewer will also work closely with Educators to schedule appointments for retrievals, continuous training and education on HEDIS measures and to resolve gaps in care.

Functions & Job Responsibilities

  • Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific database.
  • Facilitate fax or telephone call notification for providers utilizing an excel spreadsheet.
  • Create PowerPoint decks and other training materials for providers and staff.
  • Collects and compiles the required documentation to maintain critical quality improvement functions.
  • Other duties as assigned.

    • Qualifications

    Education and Experience :

  • EMR experience very helpful, read medical records, must be okay with travel to provider offices.
  • Minimum two (2) years' experience in health plan quality improvement, managed care or equivalent experience.
  • Knowledge of CMS Star Programs, HEDIS is a plus.
  • Valid driver’s license, reliable transportation, and insurance required with clean driving record.

    • Skills :

  • Prior experience with project coordination and timelines
  • Demonstrated effective organizational skills.
  • Excellent communication, writing, proofreading and grammar skills
  • Strong proficiency with MS Word, Excel, Power Point
  • Excellent organizational skills and attention to detail
  • Knowledge of HEDIS technical requirements is a plus

    • Equal Opportunity Employer / Disabled / Protected Veterans

    The Know Your Rights poster is available here :

    https : / / www.eeoc.gov / sites / default / files / 2023 -06 / 22- 088_EEOC_KnowYourRights6.12.pdf

    The pay transparency policy is available here :

    https : / / www.dol.gov / sites / dolgov / files / ofccp / pdf / pay - transp_%20English_formattedESQA508c.pdf

    For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

    We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

    AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

    https : / / e- verify.uscis.gov / web / media / resourcesContents / E - Verify_Participation_Poster_ES.pdf

    We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants : Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

    #1001

    Company Description

    This company offers growth and a great group of people to work with.

    Company Description

    This company offers growth and a great group of people to work with.

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