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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

HEDIS Outreach Coordinator

Primary Location: Harrisburg, Pennsylvania
Additional Locations: PA-Harrisburg
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Description:
Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes. Identifies when to refer member to Social Worker or Case Manager.

Fundamental Components:
Facilitates provider and member outreach to ensure member receipt of important clinical services to improvement member health outcomes. Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.

Background Experience:
* Min 3 years recent and related health care outreach and/or health education experience. * Recent and related experience with HEDIS criteria * Experience in call center environment * Strong communication skills and experience speaking with medical providers. * Ability to work independently. * Ability to use standard corporate software packages and corporate systems.

Additional Job Information:
This is an exciting opportunity to work with an expanding Team within the Medicare Healthy Outcomes Team.


Functional Skills:
Communication - Member communications, Customer Service - Call center monitoring & analysis - Inbound calls - call center location

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests

Click To Review Our Benefits (PDF)

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