HEDIS Coordinator

Aquent has an exciting opportunity for a HEDIS Coordinator!

This position is 100% remote within the United States. We will only consider candidates who currently live within the United States.

In addition, to be considered for this role, you must:

• Be authorized to work in the United States
• Not require sponsorship of any kind for the duration of the assignment.
• Be able to work on a W-2 basis. 1099 or C2C is not permitted for this position.

Make a Real Difference in Healthcare Accessibility!

Join a mission-driven healthcare organization committed to improving the quality of care for its members. As a valued member of the team, you will play a vital role in ensuring members receive the best possible care by working directly on Healthcare Effectiveness Data and Information Set (HEDIS) initiatives. This is your opportunity to make a tangible impact on people's lives.

In this exciting role, you'll be at the forefront of member outreach, ensuring they have access to vital healthcare services. You will connect with members and providers, facilitate communication, and track important health data. Your efforts will directly contribute to improving health outcomes and closing gaps in care. This position offers the chance to build strong relationships with healthcare providers and make a real difference in member well-being.

What You'll Do:

• Provide support for HEDIS quality initiatives and regulatory/contractual requirements, including outreach to members who haven't received necessary services.
• Support efficient medical record collection for HEDIS review and gather supplementary data.
• Research, update, and maintain provider and location information to ensure accurate medical record requests and proper handling of protected health information (PHI).
• Conduct HEDIS provider chart requests via phone, fax, and mail.
• Identify resources and collaborate with providers to enhance member health outcomes and HEDIS measure rates.
• Reach out to providers and members to ensure they receive essential clinical services, ultimately improving health outcomes and addressing care gaps.
• Refer members to Social Workers or Case Managers when appropriate.
• Help develop and standardize outreach documentation and manage the data flow for HEDIS documentation.
• Document member participation in outreach following abstraction and audit standards.
• Meticulously record and document all member and provider outreach activities.
• Perform other duties as assigned.

Must-Haves:

• Minimum one year of recent experience supporting HEDIS projects.
• Excellent communication skills and experience interacting with medical providers.
• Ability to work independently and manage time effectively.
• Proficiency with standard corporate software and applications, including Microsoft Word, Excel, Outlook, Teams, Adobe Reader, and RightFax.
• Verifiable High School diploma or GED.

Nice-to-Haves:

• Experience in healthcare marketing, member outreach, or health education.
• Call center experience.
• Associate's degree or equivalent experience.

The target hiring compensation range for this role is $22.18 to $24.65 an hour. Compensation is based on several factors including, but not limited to education, relevant work experience, relevant certifications, and location.

About Aquent Talent:

Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands.

Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. More information on our awesome benefits!

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.