Patient Engagement Specialist I
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Job Location:
California, CA - USA
Hourly Salary:
$ 20 - 25
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
We are currently seeking a highly motivated Patient Engagement Specialist I in the Orange County area. This role will report to the Manager Quality Care Improvement and enable us to continue to scale in the healthcare industry. As a Patient Engagement Specialist youll focus on outreach to members assist with scheduling and retrieve records through portals EMRs or on-site provider visits to support gap closures.
Our Values:
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What Youll Do
- Conduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteous and engaging manner
- Requests and gathers necessary medical records as needed.
- Effectively organize projects and tasks based on priority to help meet expectations and deadlines of projects
- Collaborates with the health plan PCP and health care team to ensure timely communication of members clinical information.
- Generates letters and faxes to PCPs Specialists patients and other health care team members.
- Analytical problem solving with the ability to understand the overall picture
- Coordinate care for patients as appropriate such as scheduling appointments creating authorizations to facilitate/expedite patients requests based on providers orders.
- Maintain strict confidentiality of business discussions
- Travel to various offices as designated
- Ad-hoc projects as assigned by the manager/supervisor
- May be required to work overtime to meet tight deadlines
- Comply with department policy and procedures
- Collect and collate appropriate data from IPA network providers for HEDIS measures
- Collect medical records conduct reviews and ensure accuracy of documentation for reporting
- Collect summarize and trend provider performance data to include provider education
- Participate in ongoing discussions concerning data collections and analysis for HEDIS
- Assist in planning and implementation of projects to improve delivery of services and quality of care
- Understand the principles of CMS HEDIS NCQA Health Plan Quality Standards and HIPAA
- Generate and maintain accurate weekly/monthly/quarterly report of activities
- Attend to health plans provider and interdepartmental calls
Qualifications
- Minimum of Associates degree Bachelors degree or equivalent years of experience
- Experience using Microsoft applications such as Word Excel and Outlook
- Proficiency in electronic scheduling
- At least one (1) year of HEDIS related experience
- Must have Drivers License reliable transportation and be willing to travel between office locations as needed
- Ability to prioritize and effectively multi-task
- Ability to quickly adapt to various situations
- Excellent organizational skills and strong attention to detail
- Effective and professional communication skills
- Self-driven quick learner patient must be able to work with people of different personalities
Youre great for the role if:
- Fluent in Spanish
- 1-3 years of IPA/MSO/HP or general healthcare experience
- Excellent analytical critical reasoning and interpersonal communication skill
- Ability to work in a fast-paced environment
- Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers members business plans strategies and other sensitive information
Environmental Job Requirements and Working Conditions
- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The home office of this department is located at 600 City Parkway West 10th Floor Orange CA 92868.
- The total compensation target pay range for this role is $20.00 - $25.00 per hour. The salary range represents our national target range for this role. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran status as an individual with a disability or other applicable legally protected characteristics. All employment is decided based on qualifications merit and business need. If you require assistance in applying for open positions due to a disability please email us at to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Required Experience:
IC
Key Skills
- Business Development
- Employee Orientation
- Public Health
- Account Management
- VersionOne
- Conflict Management
- Project Management
- Relationship Management
- Team Management
- Customer relationship management
- Human Resources
- Public Speaking
