Assistant Coordinator for HEDIS & STARS

Location: Chandler, AZ
Date Posted: 05-10-2018
CareNational
Assistant Coordinator for HEDIS & STARS – Managed Care
Chandler, AZ
 
*** This is a Full-Time, Benefits Available, CONTRACT-TO-HIRE opportunity,
expected to convert into a PERMANENT role after an established timeframe! ***
 
Assistant Coordinator Job Summary:
 
  • Review, assist, and communicate with the STARs team, administration, providers, and members regarding HEDIS/STARs program Review retrieved medical records to identify, document, and upload HEDIS/STAR measures that substantiate compliance into necessary database(s)
  • Review physicians’ reports to analyze HEDIS/STAR measures needed in order to assist in the individualize request for medical records
  • Assists in collaboration for process development to increase member compliance with HEDIS/STAR measures
  • Assist STAR’s with spreadsheet processing of weekly reports to management, providers, and other inter-departmental departments
  • Use excellent customer service skills to contact members by phone and mail in efforts to educate and assist members with completing HEDIS/STAR measure
  • Prepare for three month auditing period with Health Net and/or other insurances Review annual updates on HEDIS measures and act as a resource for NCQA Standards relating to HEDIS
  • Support and maintain an environment which fosters high customer and employee satisfaction and quality service
 
Assistant Coordinator Background: 
 
  • High School diploma required.  College degree preferred
  • Arizona Medical Assistant certification preferred
  • Minimum 1 year experience in healthcare or managed care setting with responsibility for systems and/or projects
  • Knowledge of qMetrics, EZCap & NextGen preferred
  • Ability to find, gather and collect information or data
  • Excellent written and oral communication skills
  • Ability to work independently once oriented to routine and process
  • Intermediate level proficiency with Microsoft Office applications including Word, Excel, Power Point, and Access
 
 
  #ADMIN
 
KAYLA ROGERS
ASSOCIATE SEARCH CONSULTANT
CareNational Healthcare Services
kayla@carenational.com
623.201.8732 (CALL – TEXT – FAX)
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