Health Care Analyst
CVS Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $43,888 - $85,068 per year
About the role
- Supports the Practice Transformation team by helping to implement provider performance and quality management strategies
- Facilitates provider and member outreach to ensure member receipt of important clinical services
- Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements
- Makes outbound calls to members and/or providers to assist members in obtaining services
- Identifies when to refer member to Social Worker or Case Manager
- Develops and distributes educational information to members and providers
- Assists in the development and standardization of outreach documentation
- Documents member participation in outreach activities in accordance with abstraction and audit standards
- Conducts HEDIS provider chart request calls and mailings
- May develop and maintain member incentive programs to support HEDIS initiatives
- May identify opportunities to partner with community organizations on special events and presentations.
Requirements
- Minimum 3 years' recent and related health care marketing, outreach and/or health education experience
- Ability to use standard corporate software packages and corporate applications
- Strong communication skills and experience speaking with medical providers
- Recent and related experience working with HEDIS criteria
- Ability to work independently
- Experience working in call center environment
- Bachelor's degree or equivalent experience.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
HEDIShealth care marketingoutreachhealth educationdocumentationmember incentive programsabstraction standardsaudit standards
Soft skills
communication skillsindependent workinterpersonal skills