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Quality Outreach Specialist - Remote
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Job Description
- Req#: 1000002961
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on member health outcomes
- Engaging role that involves direct interaction with healthcare providers and members
- Continuous quality improvement initiatives that enhance professional skills
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 based on HEDIS measures
- Ensure member receipt of important clinical services to improve health outcomes through provider and member outreach
- Maintain high data integrity while adhering to HIPAA standards and protecting patient information
- Track calls and provide completion statistics to stakeholders
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 on 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 #CustomerService #QualityImprovement #MemberOutreach #CareerOpportunity
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