Clinical Program Coordinator Medicare

Thomas Jefferson University•Philadelphia, PA

4d•Onsite

About The Position

Works with minimal supervision to coordinate and execute various non-clinical components of the Health Partners Plans Clinical Programs Medicare. This role involves coordinating and scheduling Interdisciplinary Care Team meetings, managing communication, serving as a point person for Medicare requests, maintaining a calendar of deliverable dates for regulatory reporting, completing regulatory functions, managing outbound member mailings, maintaining an inventory and fulfillment process, tracking materials submitted to CMS, running reports, developing Business Requirement documents for IT, providing relief coverage for the Health Care Management vendor coordinator, and scheduling interviews for prospective candidates. This role supports clinical programs targeting improvements in HEDIS, Corporate Goals, and STARS.

Requirements

High School Diploma/GED
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

Associate’s Degree
Graduate of an accredited school with a minimum of an Associate Degree, Bachelor Degree preferred.
2 years Minimum of two years of managed care experience
Project coordination experiences a plus.

Responsibilities

Coordinate and schedule Interdisciplinary Care Team meetings for Medicare and vendors.
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.
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.
Run 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.
Support 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.