EPSDT- Health Promotion Coordinator

Blue Cross Blue Shield of Arizona; Phoenix (AZ); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading health insurance provider is seeking a Health Promotion Coordinator in Phoenix, AZ. This role involves promoting comprehensive healthcare for members aged 0-21 and performing data maintenance and outreach. Ideal candidates will have a high school diploma and experience in health insurance along with strong problem-solving and interpersonal skills.

Qualifications

• 1 year of experience in health insurance or related field required.
• Knowledge of Medicaid regulations and childhood immunizations vital.

Responsibilities

• Enter and maintain data in health-related databases.
• Outreach to parents about immunization status.
• Follow up with members regarding missed doctor visits.

Skills

Knowledge of Medicaid regulations

Knowledge of childhood immunization requirements

Familiarity with medical terminology

Problem solving abilities

Effective interpersonal and communication skills

Education

High-School Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements :

Hybrid People Leaders : must reside in AZ, required to be onsite at least twice per week

Hybrid Individual Contributors : must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

Hybrid 2 (Operational Roles such as but not limited to : Customer Service, Claims Processors, and Correspondence positions) : must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

Onsite : daily onsite requirement based on the essential functions of the job

Remote : not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This position is remote within the state of AZ only. This remote work opportunity requires residency and work to be performed within the State of Arizona. Depending on business needs may need to travel to the office.

Purpose of the job

The Health Promotion Coordinator is responsible for tasks related to increasing compliance with performance measures and promoting comprehensive health care for members from birth to age 21.

Qualifications

REQUIRED QUALIFICATIONS

Required Work Experience

• 1 year of experience in health insurance, or other health care related field

Required Education

• High-School Diploma or GED in general field of study

Required Licenses

• N / A

Required Certifications

• N / A

PREFERRED QUALIFICATIONS

Preferred Work Experience

• 1 year of experience in a managed care organization or related healthcare delivery system

Preferred Education

• N / A

Preferred Licenses

• N / A

Preferred Certifications

• N / A

ESSENTIAL job functions AND RESPONSIBILITIES

• Enter information from the tracking forms into the Medical Management System
• Process Referrals
• Forward specific referrals to appropriate departments
• Maintain database and documentation
• Enter and update data in the Immunization database
• Outreach made to the parent / guardian of members whose immunizations are not up-to-date
• Contact members via telephone and / or mail on child health and wellness related topics
• Communicate with providers on member related issues
• Follow up calls are made to members who do not show to their scheduled doctor visit to identify possible obstacles to attending scheduled visits
• Outreach to members referred to services to verify that needs have been met
• Perform all other duties as assigned
• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements

REQUIRED COMPETENCIES

Required Job Skills

• Knowledge of Medicaid regulations and guidelines
• Knowledge of childhood immunization requirements
• Familiarity with medical terminology
• Computer experience in Microsoft Excel, Word, Outlook
• Problem solving abilities
• Ability to prioritize work tasks to adhere to deadlines and identified time frames
• Typing 35-40 wpm

Required Professional Competencies

• Effective interpersonal and communication skills
• Work cooperatively, positively, and collaboratively in an interdisciplinary team
• Work respectfully and positively with members

Required Leadership Experience and Competencies

• N / A

PREFERRED COMPETENCIES

Preferred Job Skills

• Knowledge of the AHCCCS EPSDT program

Preferred Professional Competencies

• N / A

Preferred Leadership Experience and Competencies