HEDIS Outreach Coordinator

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

What You'll Do

• Integral part of the HEDIS team delivering member and provider education related to HEDIS care gaps.
• Works with provider sites to assist with member scheduling of appointments and education r/t coding guidelines for HEDIS.
• Responsible for scheduling and tracking of HEDIS-specific specialty clinics.
• Responsible for inbound/outbound call queue to assist members with appointment scheduling, HEDIS initiatives, education.
• Collaborate with the HEDIS team to deliver outreach initiatives to close care gaps.
• Distributes educational information to members and providers in accordance with the HEDIS outreach work plan (mailings, social media, automated calls, etc.).
• Conducts HEDIS provider chart request calls and mailings.
• Maintains an incentive database to track member compliance.
• May identify opportunities to partner with community organizations for special events and presentations (i.e., health fairs and community events).
• Works with internal staff to schedule, organize, and staff these events.
• Records and documents all member and provider outreach activity.
• Engages in HEDIS relevant provider relationships, record retrieval during MRR project, requiring travel to offices throughout Maryland 10-25%.

Requirements

• High school diploma or equivalent.
• Minimum of 3 years' recent and related health care marketing, outreach, and/or health education experience.
• Recent and related experience working with HEDIS criteria; working in a call center environment.

Knowledge and Skills

• Proficiency in use of Microsoft Office Suite application software.
• Effective problem-solving skills to procure data and information.

Schedule and Travel

• Travel 15-20% throughout the state of Maryland.
• Current driver's license and reliable transportation.
• May require working outside of normal business hours to include evenings and Saturdays.