HEDIS Outreach Support Specialist at Maryland Care Management Inc

Linthicum, Maryland, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Jul, 26

Salary

0.0

Posted On

07 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

HEDIS outreach, Vendor management, Regulatory compliance, Data analysis, Microsoft Excel, Project coordination, Operational improvement, Training design, Performance monitoring, Problem-solving, Communication, Healthcare outreach, Health education, Stakeholder consultation, Workflow management

Industry

Insurance

Description

Description Summary/Position Objectives: This position reports to the HEDIS Outreach Manager and functions as a senior individual contributor responsible for the oversight, coordination, and continuous improvement of HEDIS outreach operations. The role exercises independent judgment in managing outreach vendor performance, and training frameworks to ensure regulatory compliance and achievement of quality outcomes. The position focuses on program effectiveness, operational standards, and performance optimization with secondary responsibilities of routine execution of outreach activities. About Maryland Care Management, Inc. (MCMI) Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations. Why join us? MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives. Responsibilities: Oversee the coordination and operational standards of HEDIS outreach initiatives to ensure alignment with regulatory and contractual requirements. Establishes outreach workflows, processes, and priorities consistent with organizational goals and approved quality strategies. Evaluates outreach effectiveness and recommends operational improvements to leadership. Exercises independent judgment to prioritize initiatives and address operational risks or performance barriers. Serves as a subject-matter expert on HEDIS outreach operations and provides consultation to internal stakeholders. Acts as the primary operational liaison for outreach vendors, including review of performance reports and approval of deliverables within established parameters. Recommend corrective actions or enhancements related to vendor performance or outreach tools. Designs, implements, and evaluates standardized training materials and operational resources for HEDIS outreach activities. Establishes onboarding and education frameworks to support consistency and regulatory compliance. Reviews outreach data and reports to monitor trends, effectiveness, and opportunities for improvement. Position requires travel to events or offices 10-25%, once a week. Requirements Knowledge and Skills: Ability to prioritize multiple tasks. Effective oral and written communication skills. Proficiency in use of Microsoft Office Suite application software. Proficient use includes extensive operational use of excel to configure and analyze data for reporting. Effective problem-solving skills to procure data and information Knowledge of geographical/cultural landscapes throughout the state of Maryland Education and Work Experience: Minimum 6 years’ recent and related health care outreach and/or health education experience. Preferred related experience with HEDIS activities. High school diploma or equivalent required. Associate or bachelor’s degree in public health, health administration, or a related field preferred. Equivalent combination of education and relevant experience will be considered. Must possess a valid Driver’s License Must have reliable transportation. EEOC Statement: Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.

Responsibilities

The specialist oversees HEDIS outreach operations, including vendor management, process improvement, and the development of training frameworks. They act as a subject matter expert to ensure regulatory compliance and optimize outreach performance through data analysis and stakeholder consultation.