Intern

Molina Healthcare•SC, SC
•$9 - $18•Onsite

About The Position

The Provider Engagement Intern supports the Health Plan’s Provider Engagement and Quality Improvement teams by conducting onsite medical record retrieval at provider offices to support HEDIS® gap closure and quality improvement initiatives. The intern works directly with provider practices to locate, review, and securely retrieve clinical documentation needed to validate completion of targeted HEDIS services. The primary focus is on high-priority and triple-weighted measures, including CIS – Childhood Immunization Status, IMA – Immunizations for Adolescents, BPD – Blood Pressure Control for Patients with Diabetes, and CBP – Controlling High Blood Pressure. Additional HEDIS measures may be assigned based on Health Plan performance priorities and quality improvement needs. Serving as an extension of the Provider Engagement team in the field, the intern helps strengthen relationships with provider offices and supports timely, accurate collection of medical records needed to close identified quality gaps. This is a full-time, 10-week internship program.

Requirements

  • Currently enrolled in an undergraduate program; should be a freshman or sophomore.
  • Minimum GPA of 3.0.
  • Pursuing a degree, preferably in public health, healthcare administration, nursing, health information management, health sciences, business, or a related field.
  • Able to commit to the full-time, 10-week internship program.
  • Unrestricted authorization to work in the United States.
  • Strong organizational and time-management skills.
  • Professional communication and interpersonal skills.
  • Comfort interacting with physician practices and provider office staff.
  • Ability to maintain confidentiality when handling sensitive health information.
  • Basic proficiency with Microsoft Office applications.
  • Ability to learn medical terminology, HEDIS measures, and medical record documentation requirements.
  • Ability to work independently while traveling between assigned provider locations.

Nice To Haves

  • Coursework or experience in healthcare, quality improvement, medical records, health information management, or managed care.
  • Familiarity with electronic medical record systems.
  • Basic understanding of HEDIS or healthcare quality measures.
  • Experience working in a physician practice, medical records department, health plan, or healthcare setting.

Responsibilities

  • Use Health Plan-provided member and gap lists to locate appropriate clinical documentation in provider medical record systems.
  • Travel to assigned primary care, pediatric, and other provider offices to retrieve records for members with identified HEDIS gaps.
  • Retrieve and review records for completeness, identify documentation that may satisfy an open gap, and submit records through the Health Plan’s established secure process.
  • Support HEDIS gap closure and quality improvement initiatives through timely, accurate medical record collection.
  • Interact with provider practices and office staff while representing the Provider Engagement team in the field.
  • Maintain confidentiality of member information and medical records.
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