HCI Projects Rep (SCAN Temp)

GRP SCAN Group

City of Long Beach (NY)

On-site

USD 28,000 - 40,000

Full time

4 days ago
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Benefits offered by this job

Competitive compensation program
Annual bonus program
Generous PTO
11 paid holidays per year
Excellent retirement savings program
Work-life balance
Meaningful community impact

Job summary

SCAN is seeking a detail-oriented data liaison to support Encounter Data, Risk Adjustment, and Health Care Informatics. You will serve as a vital link to internal and external customers, monitor trends, document issues, and ensure timely satisfaction and closure across data submissions.

Responsibilities include educating partners on proper submission methods, coordinating data collections, and generating standard and ad-hoc reports.

Qualifications

  • Bachelor's Degree or equivalent experience
  • 2-3 years of related experience
  • Knowledge of the field's policies, procedures, and practices
  • Ability to work as part of a team
  • Oral and written communication skills
  • Ability to build collaborative relationships
  • Ability to identify and seek needed information/research skills
  • Project scheduling skills
  • Project management skills
  • Technical expertise - Basic technical skills for functional area
  • Problem Solving - Basic problem solving skills
  • Communication - Good communication and interpersonal skills

Responsibilities

  • You will contact provider offices and medical groups regarding encounter data submissions and risk adjustment rends, serving as a resource and liaison
  • Contribute to team effort by accomplishing related results as needed
  • Analyze, interpret, document encounter data and risk adjustment data to identify potential issues and trends
  • Coordinate the collection of encounter data and correction of rejections so that files may be resubmitted by providers, error free
  • Educate provider partners regarding how to submit encounter data and forms correctly
  • Participate in daily administrative duties and monitoring of Encounter Data and Risk Adjustment data
  • Field external provider partner questions and reporting requests received via calls or emails
  • Support department projects/tasks as they arise This includes generating standard and ad-hoc reports, managing contact lists, and monitoring metrics
  • Assist the implementation of direct response campaigns (via emails, calls, webinars, etc) to ensure external partner responsiveness and training

Skills

Team collaboration
Oral and written communication
Research skills
Project scheduling
Project management
Problem solving
Interpersonal skills
Attention to detail
Data liaison
Technical awareness

Education

Bachelor's Degree or equivalent experience

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.We’re always looking for talented people to join our team!

Job Description

Support the Encounter Data team, Risk Adjustment team, and the Health Care Informatics department by (1) being a liaison to internal and external customers (2) monitoring, tracking, documenting encounter data and risk adjustment trends, (3) researching issues from a data content perspective, and (4) ensuring internal and external customer satisfaction and issue closure.

Perform all functions within department policies and procedures, regulatory timeframes and guidelines, and under the guidance of the Healthcare Informatics management team.

  • You Will Contact provider offices and medical groups regarding encounter data submissions and risk adjustment rends, serving as a resource and liaison
  • Contribute to team effort by accomplishing related results as needed
  • Analyze, interpret, document encounter data and risk adjustment data to identify potential issues and trends
  • Coordinate the collection of encounter data and correction of rejections so that files may be resubmitted by providers, error free
  • Educate provider partners regarding how to submit encounter data and forms correctly
  • Participate in daily administrative duties and monitoring of Encounter Data and Risk Adjustment data
  • Field external provider partner questions and reporting requests received via calls or emails
  • Support department projects/tasks as they arise This includes generating standard and ad-hoc reports, managing contact lists, and monitoring metrics
  • Assist the implementation of direct response campaigns (via emails, calls, webinars, etc) to ensure external partner responsiveness and training

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Qualifications
  • Bachelor's Degree or equivalent experience
  • 2-3 years of related experience
  • Knowledge of the field's policies, procedures, and practices
  • Ability to work as part of a team
  • Oral and written communication skills
  • Ability to build collaborative relationships
  • Ability to identify and seek needed information/research skills
  • Project scheduling skills
  • Project management skills
  • Technical expertise - Basic technical skills for functional area
  • Problem Solving - Basic problem solving skills
  • Communication - Good communication and interpersonal skills
Compensation

Hourly Pay Range: $20.14 to $29.16 per hour

Benefits and Perks
  • A competitive compensation and benefits program
  • An annual employee bonus program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year
  • Excellent Retirement Savings program
  • A work-life balance
  • An opportunity to become part of a team that makes a difference to our members and our community every day!
Equal Opportunity & Diversity

We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.

A background check is required.

Additional Policies

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41CFR60-1.35(c)

Why Consider a Career at SCAN?

SCAN has a long history of finding and investing in ways to meet seniors'needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.

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