HEDIS Operations Coordinator at iCare Health Solutions

Miami, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Sep, 26

Salary

23.0

Posted On

13 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Relationship Management, Interpersonal Skills, Time Management, Multitasking, Microsoft Word, Microsoft Excel, Microsoft Outlook, Bilingual English/Spanish, Communication Skills, Analytical Skills, Member Outreach, Scheduling

Industry

Hospitals and Health Care

Description

Description Responsible for working directly with Primary Care Physician (PCP) offices to ensure their non-compliant diabetic members receive their annual diabetic eye exam to fulfil the NCQA HEDIS quality measure Essential Functions Work as the main point of contact for PCP offices to coordinate successful on-site tele-retinal diabetic screenings and member outreach efforts Validate member eligibility for services using iCare Health Solutions’ proprietary software Perform initial training and ongoing support for point of contact at PCP offices Manage and validate non-compliant patient lists sent from health plan partners as well as PCP offices Coordinate the schedule of HEDIS Technicians for tele-retinal diabetic screenings Collaborate with team members and management, as well as screening location staff, to form appropriate action plans to meet the client’s needs Capture and analyze data to drive informed outcomes Provide outreach to members and assist in the scheduling of appointments with vision providers Work with business partners to identify process improvements and perform other duties as assigned by management Requirements Job Specifications Typically has the following skills or abilities: Two to four years of experience in Vision Care or healthcare Proven ability to build and maintain strong relationships with internal stakeholders and external providers Excellent interpersonal skills, initiative, and the ability to work both independently and collaboratively Must be prompt, organized, and have excellent time management capabilities Ability to work on multiple tasks simultaneously and adapt to changing priorities Microsoft Word, Excel, and Outlook proficiency; ability to learn company’s software systems Bi-lingual (English/Spanish) preferred Strong motivational influence and communication skills Excellent written and verbal communication skills and analytical skills Working Conditions The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust etc. The above information in this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability, or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. The compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding iCare benefits, please click here.

Responsibilities

Coordinate with Primary Care Physician offices to ensure diabetic members receive annual eye exams to meet HEDIS quality measures. Manage member eligibility, schedule technicians for screenings, and perform outreach to patients.