City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health Plans is currently hiring a Temporary HEDIS Quality Coordinator/Administrative Assistant​!

Status: Temp Full time position (40 hours) from Jan 27, 2025 until May, 2 2025

Standard working hours: Dayshift, 8am to 5pm EST

Location: Applicants must live in Virginia. Hybrid position and requires office visits 2 x week (Virginia Beach OR Richmond, VA).

This position has a fixed rate of $30/hour with no benefits.

Required Qualifications

• High School Grad or Equivalent

• One-year customer service experience required

Preferred Qualifications

• Experience with Medical Records Preferred

• One-year experience in a member and/or provider engagement role preferred

• Medicare/Medicaid/Commercial experience/knowledge highly preferred

Special skills and/or knowledge:

• Analytical skills – proficient using Microsoft Office including Microsoft Excel

• Openly and actively communicates information and takes initiative to communicate extensively

• Ability to handle difficult situations diplomatically

• Effective interpersonal skills, collaboration, and listening skills

• Ability to build strong relationships within and outside the health plan

• Negotiation skills

Primary responsibilities include:

• Providing "best in class" service and is the first point of contact, ambassador and concierge for assigned region/membership

• Utilizes skills to retain members in the assigned provider practices and supports new membership after the initial enrollment period

• Coordinates in office wellness events as a result of interventions management to improve gap closures in the field

• Coordinates with Health Education and contacts members telephonically to schedule them for appointments

• Participates in the Member Advisory and Provider Advisory Meetings as needed

• Maintains superior member/provider relationships and ensures the highest quality of care coordination.

Sentara Health Plans is the health insurance division of Sentara Healthcare!

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

Keywords:

#Indeed

Talroo – Health Plan

Temporary, HEDIS, Medical Records, Medical Office, Medical Assistant, Admin

Job Summary

The Quality HEDIS Coordinator provides "best in class" service and is the first point of contact, ambassador and concierge for assigned region/membership. Utilizes skills to retain members in the assigned provider practices and supports new membership after the initial enrollment period. Coordinates in office wellness events as a result of interventions management to improve gap closures in the field. Coordinates with Health Education and contacts members telephonically to schedule them for appointments. Participates in the Member Advisory and Provider Advisory Meetings as needed. Maintains superior member/provider relationships and ensures the highest quality of care coordination.

One-year experience in a member and/or provider engagement role preferred
Ability to travel up to 80% of the time is mandatory

Qualifications:

ALD - Associate's Level Degree, HS - High School Grad or Equivalent (Required)

Customer Service, Managed Care

Skills

Active Listening, Communication, Critical Thinking, Microsoft Office, Monitoring, Service Orientation, Social Perceptiveness, Troubleshooting

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure