HEDIS Outreach Coordinator

IMCS Group; California (MO); Remote; Full time

Job summary

A leading healthcare provider is seeking a Patient Care Advocate to engage with Medicare/Medicaid populations to improve health outcomes. The role is fully remote and involves outreach, education, and coordination of services for members, contributing directly to quality improvement efforts. Candidates should possess strong communication skills and healthcare-related degrees or relevant experience.

Benefits

Fully remote work setting

Opportunity to impact care quality

Qualifications

• Required: Associate or Bachelor’s Degree in Healthcare or related field.
• Will consider equivalent work experience (4+ years) in lieu of degree.
• Preferred: RN, LPN, LMSW, or other relevant clinical certifications.

Responsibilities

• Conduct proactive member outreach to close care gaps and promote health outcomes.
• Make 90–125 outbound calls per day regarding care gaps.
• Coordinate services such as transportation and referrals.

Skills

Communication

Interpersonal Skills

Proficiency in Excel

Preventive Health Outreach

Data Tracking

Education

Associate or Bachelor’s Degree in Healthcare

Equivalent work experience in lieu of degree

Job description

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IMCS Group provided pay range

This range is provided by IMCS Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$25.00/hr - $32.00/hr

Job Title: Patient Care Advocate

Duration: 6 Months (with potential for extension)

Location: Remote – Pacific Time Zone (PST) preferred

Schedule: Monday to Friday, 8:00 AM – 5:00 PM PST (1-hour lunch break)

Work Setting: Fully remote, non-member facing

Business Unit: Coordinated Care

Role Summary:

The Patient Care Advocate is responsible for conducting proactive member outreach to close care gaps and promote improved health outcomes. This role centers on telephonic engagement, health education, and care coordination, targeting Medicare/Medicaid populations. The ideal candidate is highly communicative, detail-oriented, and motivated to help members access preventive services and overcome barriers to care.

This role is instrumental to Centene’s HEDIS and quality improvement efforts and supports compliance with state and federal healthcare standards.

Key Responsibilities:

• Make 90–125 outbound calls per day to members regarding care gaps, preventive health screenings, and support services.
• Educate members on needed health services and assist in scheduling doctor appointments.
• Coordinate wraparound services such as transportation, referrals, and access to community programs.
• Serve as a liaison between the member, provider, and internal departments (e.g., customer service, case management).
• Document member interactions and outcomes in accordance with HIPAA and organizational guidelines.
• Collaborate with other departments to resolve issues affecting member access to care.
• Educate providers on HEDIS measures, appropriate coding practices, and preventive care outreach strategies.
• Complete special assignments or projects as needed.

Qualifications:

Education:

• Required: Associate or Bachelor’s Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, or a related field
• Will consider equivalent work experience (4+ years) in lieu of degree

Licensure (Preferred):

• RN, LPN, LMSW, LSW, or other relevant clinical certifications

Experience:

• 2+ years in direct patient care, social work, health coaching, or quality improvement (preferably in a managed care setting)
• Proven success in member outreach, care coordination, or call center environments
• Familiarity with HEDIS measures and healthcare coding is a strong plus

Top Skills (Ranked by Importance):

• Proficiency in Excel and data tracking
• Strong communication and interpersonal skills
• Knowledge of preventive health outreach and care gap closure

Performance Metrics:

• Number of successful member contacts and call volume
• Appointment scheduling rate and gap closure rate
• Member satisfaction and engagement
• Documentation accuracy and timely reporting

What Makes This Role Unique:

• Opportunity to work independently in a fully remote, structured environment
• Directly impact care quality by increasing member access to vital health services
• Join a supportive, mission-driven team with a focus on community health
• Gain experience in HEDIS quality measures and telephonic case management

Interview & Hiring Process:

• No assessments or testing required
• Onboarding through standard background clearance process

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Public Health

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