Hybrid HEDIS & Risk Outreach Coordinator

Clever Care Health Plan; Huntington Beach (CA); Hybrid; USD 28,000 - 34,000; Full time

Job summary

Clever Care Health Plan is seeking a HEDIS/Risk Outreach Coordinator in Huntington Beach, CA. The role involves deploying Stars and Risk adjustment programs, collecting medical records, and coordinating member outreach with providers and care teams.

The position requires travel to provider offices, a bachelor’s degree or two years of health plan experience, and familiarity with HEDIS and CMS Star programs. The role operates on a hybrid schedule with three days onsite.

Qualifications

• Bachelor's degree or minimum two years' experience in health plan or managed care.
• Knowledge of CMS Star Programs, HEDIS, and Risk Adjustment is a plus.
• EMR experience is a plus; travel to provider offices required.

Responsibilities

• Assist with deployment and implementation of Stars and Risk adjustment programs.
• Schedule appointments for members and for scheduling education or retrieval visits with providers.
• Create training materials for providers and staff; collect and compile required documentation.

Skills

Project management

Communication

Organizational skills

Attention to detail

Education

Bachelor's degree or 2 years' health plan experience

Tools

EMR

MS Word

MS Excel

PowerPoint

Job description

Clever Care Health Plan is seeking a HEDIS/Risk Outreach Coordinator in Huntington Beach, CA. The role involves deploying Stars and Risk adjustment programs, collecting medical records, and coordinating member outreach with providers and care teams.

The position requires travel to provider offices, a bachelor’s degree or two years of health plan experience, and familiarity with HEDIS and CMS Star programs. The role operates on a hybrid schedule with three days onsite.