HEDIS Operations Coordinator

iCare Health Solutions•Miami, FL

4d•$21 - $23•Onsite

About The Position

Responsible for working directly with Primary Care Physician (PCP) offices to ensure their non-compliant diabetic members receive their annual diabetic eye exam to fulfil the NCQA HEDIS quality measure.

Requirements

Two to four years of experience in Vision Care or healthcare
Proven ability to build and maintain strong relationships with internal stakeholders and external providers
Excellent interpersonal skills, initiative, and the ability to work both independently and collaboratively
Must be prompt, organized, and have excellent time management capabilities
Ability to work on multiple tasks simultaneously and adapt to changing priorities
Microsoft Word, Excel, and Outlook proficiency; ability to learn company’s software systems
Strong motivational influence and communication skills
Excellent written and verbal communication skills and analytical skills

Nice To Haves

Bi-lingual (English/Spanish) preferred

Responsibilities

Work as the main point of contact for PCP offices to coordinate successful on-site tele-retinal diabetic screenings and member outreach efforts
Validate member eligibility for services using iCare Health Solutions’ proprietary software
Perform initial training and ongoing support for point of contact at PCP offices
Manage and validate non-compliant patient lists sent from health plan partners as well as PCP offices
Coordinate the schedule of HEDIS Technicians for tele-retinal diabetic screenings
Collaborate with team members and management, as well as screening location staff, to form appropriate action plans to meet the client’s needs
Capture and analyze data to drive informed outcomes
Provide outreach to members and assist in the scheduling of appointments with vision providers
Work with business partners to identify process improvements and perform other duties as assigned by management