Program Coordinator

HealthFirst

13d

About The Position

The Program Coordinator, Reward Card Program in Clinical Quality is responsible for supporting Healthfirst initiatives and regulatory requirements related to Member Rewards and Incentives, HEDIS Quality Improvement, Medicare Stars and Member Satisfaction. This position is both internal (EDS, Marketing, etc.) and external (Members, Provider, Vendor) facing.

Requirements

• High School/GED Diploma from an accredited institution
• Basic knowledge of MS Word, Excel, Access, and Outlook
• Strong organizational skills
• Good communication (verbal and written) and interpersonal skills
• Flexibility, reliability, and easily adaptable to any work assignments or new computer applications
• Competent in managing responsibilities in a high-volume and fast-paced environment
• Ability to resolve member issues with patience and courtesy

Nice To Haves

• Associate’s degree from an accredited institution + 2 Years Work Experience.
• Experience processing reward card requests highly preferred.
• Bilingual in English and one or more language(s): Spanish, Mandarin, Cantonese may be required based on business needs
• Familiarity with some medical terminology.
• Experience addressing member inquiries in a managed care environment.
• Knowledge of CPT and ICD-9 codes.

Responsibilities

• Verifies reward requests based on required preventive services appropriate for the member’s age, gender and other accepted demographics as outlined via the Member Reward Card Program Guidelines, HEDIS/QARR Technical Specifications, and CMS/DOH guidelines
• Conducts member and provider outreach to inform on reward guidance and status using multiple internal systems and applications
• Collaborates with internal and external teams to track and document program requirements and implementation status
• Documents, communicates and presents technical improvement findings and recommendations in all systems supporting Member Rewards Program
• Provides support in creating, editing and communicating member and provider material updates
• Additional duties as necessary

Benefits

• medical
• dental
• vision coverage
• incentive and recognition programs
• life insurance
• 401k contributions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees