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Member Experience Specialist
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Job Description
- Req#: J0VA05232630
Employer Industry: Medicare Advantage Health Insurance
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Fully remote work environment, providing flexibility
- Engaging and supportive work culture focused on genuine care and optimal health for members
- Involvement in meaningful projects that directly impact member care and satisfaction
- Competitive benefits package including health insurance and paid time off
What to Expect (Job Responsibilities):
- Support member engagement projects and outreach performed by the STARS team
- Coordinate supplemental and health demographic data collection projects to ensure accurate reporting
- Perform accurate data entry in HEDIS software and outreach tracking systems
- Review and maintain medical records to confirm referrals and appropriate medical coding
- Conduct provider gap notification campaigns to support departmental work plans
What is Required (Qualifications):
- High School diploma or equivalent required
- Current Certified/Registered Medical Assistant in the State of Oklahoma or 1 year of experience with a health plan or within a quality department or clinical setting
- Proficiency in Microsoft applications including Word and Excel
- Basic knowledge of electronic health records and ability to learn new software quickly
- Strong organizational, time management, verbal, and written communication skills
How to Stand Out (Preferred Qualifications):
- Experience with quality performance measures and clinical health care
- Familiarity with HEDIS, CAHPS, HOS, Meaningful Use, and Part D measures set by CMS performance standards
#MedicareAdvantage #HealthInsurance #RemoteWork #CareerGrowth #DataManagement
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