HEDIS Outreach Support Specialist

Maryland Care Management Inc•Linthicum, MD

About The Position

This position reports to the HEDIS Outreach Manager and functions as a senior individual contributor responsible for the oversight, coordination, and continuous improvement of HEDIS outreach operations. The role exercises independent judgment in managing outreach vendor performance, and training frameworks to ensure regulatory compliance and achievement of quality outcomes. The position focuses on program effectiveness, operational standards, and performance optimization with secondary responsibilities of routine execution of outreach activities. About Maryland Care Management, Inc. (MCMI) Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations. Why join us? MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

Requirements

Ability to prioritize multiple tasks.
Effective oral and written communication skills.
Proficiency in use of Microsoft Office Suite application software. Proficient use includes extensive operational use of excel to configure and analyze data for reporting.
Effective problem-solving skills to procure data and information
Knowledge of geographical/cultural landscapes throughout the state of Maryland
Minimum 6 years’ recent and related health care outreach and/or health education experience. Preferred related experience with HEDIS activities.
High school diploma or equivalent required.
Associate or bachelor’s degree in public health, health administration, or a related field preferred.
Equivalent combination of education and relevant experience will be considered.
Must possess a valid Driver’s License
Must have reliable transportation.

Nice To Haves

Preferred related experience with HEDIS activities.
Associate or bachelor’s degree in public health, health administration, or a related field preferred.

Responsibilities

Oversee the coordination and operational standards of HEDIS outreach initiatives to ensure alignment with regulatory and contractual requirements.
Establishes outreach workflows, processes, and priorities consistent with organizational goals and approved quality strategies.
Evaluates outreach effectiveness and recommends operational improvements to leadership.
Exercises independent judgment to prioritize initiatives and address operational risks or performance barriers.
Serves as a subject-matter expert on HEDIS outreach operations and provides consultation to internal stakeholders.
Acts as the primary operational liaison for outreach vendors, including review of performance reports and approval of deliverables within established parameters.
Recommend corrective actions or enhancements related to vendor performance or outreach tools.
Designs, implements, and evaluates standardized training materials and operational resources for HEDIS outreach activities.
Establishes onboarding and education frameworks to support consistency and regulatory compliance.
Reviews outreach data and reports to monitor trends, effectiveness, and opportunities for improvement.
Position requires travel to events or offices 10-25%, once a week.