Analyst, Outreach Coordinator

Aetna Medicaid Administrators

30d • $21 - $37

About The Position

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Coordinates member outreach to ensure effective use of health plan benefits, ensure member receipt of important clinical services, and to improve member health outcomes within the Medicaid or Medicare population. Responds to member inquiries in person, via telephone, and in writing. Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements including outreach to members who are noncompliant in the designated outreach services. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.

Requirements

• 2+ years' member outreach, health care marketing, and/or other health education experience
• 1+ years of customer service or call center experience
• 1+ years of experience working with data
• Ability to work independently with a high attention to details
• Exceptional verbal and written communication skills
• 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
• High School Diploma (REQUIRED)

Nice To Haves

• QuickBase experience
• QNXT experience
• Project management experience
• Analytic experience
• Bachelor's Degree (PREFERRED)

Responsibilities

• Coordinates member outreach to ensure effective use of health plan benefits
• Ensure member receipt of important clinical services
• Improve member health outcomes within the Medicaid or Medicare population
• Responds to member inquiries in person, via telephone, and in writing
• Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements including outreach to members who are noncompliant in the designated outreach services
• Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED