Analyst, Outreach Coordinator

Aetna Medicaid Administrators hires an Outreach Coordinator to coordinate member outreach that supports effective use of health plan benefits, access to clinical services, and improved health outcomes. The role also responds to member inquiries and supports HEDIS quality initiatives, regulatory and contractual requirements, and medical record capture and supplemental data abstraction.

Responsibilities:

• Coordinates member outreach to ensure effective use of health plan benefits, ensure member receipt of important clinical services, and to improve member health outcomes within the Medicaid or Medicare population
• Responds to member inquiries in person, via telephone, and in writing
• Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements including outreach to members who are noncompliant in the designated outreach services
• Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data

Requirements:

• 2+ years' member outreach, health care marketing, and/or other health education experience
• 1+ years of customer service or call center experience
• 1+ years of experience working with data
• Ability to work independently with a high attention to details
• Exceptional verbal and written communication skills
• 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
• High School Diploma (REQUIRED)
• QuickBase experience
• QNXT experience
• Project management experience
• Analytic experience
• Bachelor's Degree (PREFERRED)