• Job Description

  Req#: 7228
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Salary up to $70,200
  - Opportunity for career advancement and growth within the organization
  - Supportive and collaborative work environment
  - Chance to make a positive impact on member health outcomes
  - Engage in meaningful outreach efforts to improve healthcare quality measures
  
  What to Expect (Job Responsibilities):
  - Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care
  - Collaborate with Clinical Pharmacists, Registered Nurses, and Data Analysts to prioritize members for outreach related to HEDIS measures
  - Maintain high data integrity while adhering to HIPAA standards and protecting patient information
  - Coordinate call tracking and provide statistics to stakeholders
  - Execute member and provider mailings while ensuring proper compliance with CMS regulations
  
  What is Required (Qualifications):
  - High School Diploma (Required)
  - Minimum of 1 year direct customer service experience in a healthcare setting (Required)
  - Excellent telephonic and customer service skills (Required)
  - Experience analyzing data and building action plans based upon data outcomes (Required)
  - Personal motivation to achieve set goals (Required)
  
  How to Stand Out (Preferred Qualifications):
  - College Degree (Preferred)
  - Pharmacy Technician License (Preferred)
  - Experience with or knowledge of Electronic Medical Records (Preferred)
  - Knowledge of or experience with HEDIS, STAR ratings, and/or quality improvement (Preferred)
  - Experience in a managed care health services environment (Preferred)
  
  #HealthcareServices #QualityImprovement #CustomerService #CareerOpportunity #HealthOutcomes
  
  "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

• About the company

  EmblemHealth provides all our members the latest plan & health information, including GHI Insurance information. We are dedicated to helping you stay healthy, get well, and live better.

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