Quality Outreach Coordinator
BC Forward

Quality Outreach Coordinator

BCforward is currently seeking a highly motivated Quality Outreach Coordinator at CST Remote.

Position Title: Quality Outreach Coordinator

Location: CST Remote
Anticipated Start Date: 12/09/2024

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 3+ Months with contract to hire

Job Type: [FULL TIME (>=40 HRS WEEKLY)/ [CONT TO HIRE], [Remote]
Pay Range: $18/Hr - $20.50/Hr

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
Requirements:

Performs duties to assist in activities related to closing open care gaps for high-risk members.

Remote - would prefer to stay away from any PST and MTN time zones, Central is preferred. EST is not preferred but would be accepted.

Education/Experience:
High school diploma or equivalent. 2 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Knowledge of medical terminology. Interacts with high-risk members and/or providers to improve healthcare outcomes and close care gaps such as increased preventive care compliance

Provides support for quality initiatives including outreach to members who are noncompliant in the designated outreach services

Conducts seasonal call campaigns, in coordination with local market efforts

Enters data assessments and authorizations into the system and maintain database as directed

Maintains integrity of Personal Health Information
Performs other duties as assigned

Complies with all policies and standards

Customer service

• Calling members via phone

• Calling the members and providing service

• Outbound calling

• Purpose of team is to close care gaps, and ensure they are being addresses.

• HEDIS -Health Effectiveness Data and Information Sets

• QARR - Quality Assurance Reporting Requirements

• PSO - Preventative Service Outreach (Majority)

• HRA - Health Risk Assessment (Filler / temporary)

Describe the performance expectations/metrics for this individual and their team:

• This person may be asked to pivot and complete multiple projects and assignments in a timely manner. Training is going to be provided by the hiring leaders, but they do not have the capabilities to hand hold someone.

• Participation is a MUST.

Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

Interested candidates please send resume in Word format Please reference job code 231891 when responding to this ad.

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Job Snapshot

Employee Type
Contractor

Location
Richmond Heights, MO (Onsite)

Job Type
QA - Quality Control

Experience
Not Specified

Date Posted
11/26/2024