Clinical Program Coordinator Medicare

Jefferson Health Plans • Philadelphia, PA

5d • Onsite

About The Position

Works with minimal supervision to coordinate and execute various non-clinical components of the Health Partners Plans Clinical Programs Medicare.

Requirements

• Ability to function independently with minimal supervision.
• Able to self-direct
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel, Visio)
• Basic relational database experience
• Analytic and problem solving skills
• Strong organizational skills
• Able to manage multiple priorities and meet deliverables
• Excellent verbal, written communication and presentation skills
• Ability to provide guidance to the Clinical team as needed

Nice To Haves

• Project coordination experiences a plus.

Responsibilities

• Coordinate and schedule Interdisciplinary Care Team meetings for Medicare and vendors as well as manage various forms of communication such as Right Fax for all clinical programs.
• Serve as point person for all Medicare requests that pertain to clinical programs and maintain an ongoing calendar of deliverable dates for regulatory reporting.
• Complete regulatory functions under the supervision of the respective Manager to ensure compliance to deadlines and contract requirements.
• Manage all outbound member mailings; maintain inventory and fulfillment process to improve health outcomes for our members.
• Maintain a tracking inventory of materials submitted to CMS for approval.
• Running reports to support managers in assessing productivity.
• Work with the clinical care teams to develop Business Requirement documents for IT.
• Provide relief coverage for the Health Care Management vendor coordinator. May include CCMS notifications.
• Schedule interviews for prospective candidates for the clinical programs and confirm and set up new hire HEAT ticket for computers and phone.
• For all clinical programs that are targeting improvement in HEDIS, Corporate Goals and STARS.
• Other duties as assigned

Benefits

• Medical (including prescription)
• Supplemental insurance
• Dental
• Vision
• Life and AD&D insurance
• Short- and long-term disability
• Flexible spending accounts
• Retirement plans
• Tuition assistance
• Voluntary benefits
• Tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service

What This Job Offers

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