HEDIS Operations Coordinator
$43,680–$47,840 year
On-site · Miami, Florida, United States
Job Summary
Coordinate on-site tele-retinal diabetic screenings for members by serving as the main point of contact for PCP offices, validate eligibility in iCare Health Solutions’ software, and train/support PCP office contacts. Manage and validate non-compliant patient lists from health plan partners and PCP offices, schedule HEDIS Technicians, and collaborate with team members and staff to develop action plans. Capture and analyze data to drive outcomes, provide member outreach and assist in scheduling vision-provider appointments, and work with business partners to identify process improvements and perform other duties as assigned by management.
Required Qualifications
- Two to four years of experience in Vision Care or healthcare
- Proven ability to build and maintain strong relationships with internal stakeholders and external providers
- Excellent interpersonal skills, initiative, and ability to work independently and collaboratively
- Prompt, organized, and strong time management capabilities
- Ability to handle multiple tasks and adapt to changing priorities
- Proficiency with Microsoft Word, Excel, and Outlook; ability to learn company software systems
- Strong written and verbal communication skills
- Analytical skills
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