Quality Outreach Coordinator

Spectraforce Technologies; Raleigh (NC); Remote; USD 40,000 - 50,000; Full time

Job summary

A healthcare solutions company is seeking a Quality Outreach Coordinator to assist high-risk members with closing care gaps. Responsibilities include member outreach, data entry, and supporting quality initiatives. Candidates should have a high school diploma and at least 2 years in a managed care setting. This is a remote position offering an 8-month contract with possibilities for extension.

Qualifications

• 2 years in a managed care setting, medical office or facility setting with demonstration of medical administration duties.
• No outbound phone experience, no case manager experience.

Responsibilities

• Interact with high-risk members and/or providers to improve healthcare outcomes.
• Support quality initiatives including outreach to noncompliant members.
• Conduct seasonal call campaigns in coordination with local market efforts.
• Enter data assessments and authorizations into the system.
• Maintain integrity of Personal Health Information.

Skills

Healthcare Experience

Quality Improvement

Knowledge of medical terminology

Education

High school diploma or equivalent

Job description

Position Title

Quality Outreach Coordinator

Work Location

Remote

Work Duration

8 Months (Possibility to extend or convert)

Summary

Performs duties to assist in activities related to closing open care gaps for high-risk members.

Key Responsibilities

• Interacts with high-risk members and/or providers to improve healthcare outcomes and close care gaps such as increased preventive care compliance
• Provides support for quality initiatives including outreach to members who are noncompliant in the designated outreach services
• Conducts seasonal call campaigns, in coordination with local market efforts
• Enters data assessments and authorizations into the system and maintain database as directed
• Maintains integrity of Personal Health Information
• Performs other duties as assigned
• Complies with all policies and standards

Qualifications

• High school diploma or equivalent
• 2 years managed care setting, medical office or facility setting with demonstration of medical administration duties
• Knowledge of medical terminology

Additional Qualifications

• Quality Improvement, Healthcare Experience, HEDIS Experience, medical terminology
• Disqualifiers: no outbound phone experience, no case manager experience