Patient Engagement Specialist I

Join to apply for the Patient Engagement Specialist I (Contract) - Must reside in San Diego role at Astrana Health2 days ago Be among the first 25 applicantsJoin to apply for the Patient Engagement Specialist I (Contract) - Must reside in San Diego role at Astrana HealthDepartment: Quality - Quality Care ImprovementLocation: 600 City Parkway West 10th Floor, Orange, CA 92868Compensation: $ $25.00 / hourDepartment: Quality - Quality Care ImprovementLocation: 600 City Parkway West 10th Floor, Orange, CA 92868Compensation: $ $25.00 / hourDescriptionWe are currently seeking a highly motivated Patient Engagement Specialist I in the San Diego area.
This role will report to the Manager – Quality Care Improvement and enable us to continue to scale in the healthcare industry.
As a Patient Engagement Specialist, you'll focus on outreach to members, assist with scheduling, and retrieve records through portals, EMRs, or on-site provider visits to support gap closures.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll DoConduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteous and engaging mannerRequests and gathers necessary medical records as needed.Effectively organize projects and tasks based on priority to help meet expectations and deadlines of projectsCollaborates with the health plan, PCP, and health care team to ensure timely communication of member's clinical information.Generates letters and faxes to PCPs, Specialists, patients, and other health care team members.Analytical problem solving with the ability to understand the overall pictureCoordinate care for patients as appropriate such as scheduling appointments, creating authorizations to facilitate/expedite patient's requests based on provider's orders.Maintain strict confidentiality of business discussionsTravel to various offices as designatedAd-hoc projects as assigned by the manager/supervisorMay be required to work overtime to meet tight deadlinesComply with department policy and proceduresCollect and collate appropriate data from IPA network providers for HEDIS measuresCollect medical records, conduct reviews and ensure accuracy of documentation for reportingCollect, summarize and trend provider performance data to include provider educationParticipate in ongoing discussions concerning data collections and analysis for HEDISAssist in planning and implementation of projects to improve delivery of services and quality of careUnderstand the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAAGenerate and maintain accurate weekly/monthly/quarterly report of activitiesAttend to health plans, provider, and interdepartmental callsQualificationsMust reside in San DiegoMinimum of Associate's degree, Bachelor's degree or equivalent years of experienceExperience using Microsoft applications such as Word, Excel and OutlookProficiency in electronic schedulingAt least one (1) year of HEDIS related experienceMust have Driver's License, reliable transportation and be willing to travel between office locations as neededAbility to prioritize and effectively multi-taskAbility to quickly adapt to various situationsExcellent organizational skills and strong attention to detailEffective and professional communication skillsSelf-driven, quick learner, patient, must be able to work with people of different personalitiesYou're great for the role, if:Fluent in Spanish1-3 years of IPA/MSO/HP or general healthcare experienceExcellent analytical critical reasoning and interpersonal communication skillAbility to work in a fast-paced environmentAbility to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive informationEnvironmental Job Requirements and Working ConditionsThis is a remote position; however, candidates must reside in San Diego, CA.
The home office of this department is located at 600 City Parkway West, 10th Floor, Orange, CA 92868.The schedule is full-time, Monday through Friday, 8:00 AM – 5:00 PM.The total compensation target pay range for this role is $ $25.00 per hour.
The salary range represents our national target range for this role.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer.
We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
All employment is decided based on qualifications, merit, and business need.
If you require assistance in applying for open positions due to a disability, please email us at ****** to request an accommodation.Additional Information:The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.Seniority levelSeniority levelNot ApplicableEmployment typeEmployment typeTemporaryJob functionJob functionOtherIndustriesHospitals and Health CareReferrals increase your chances of interviewing at Astrana Health by 2xGet notified about new Patient Engagement Specialist I (Contract) - Must reside in San Diego jobs in California, CA.Vulnerability Management Analyst / Contract / RemotePatient Engagement Specialist I (Contract) - Must reside in Orange County or Inland EmpireWe're unlocking community knowledge in a new way.
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