HEDIS Coordinator

Description

Join Elica’s mission and become a part of a team where every day is an opportunity to make a positive impact in your community!

At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives.

WHAT YOU'LL DO

The HEDIS Coordinator will be responsible for coordinating, collaborating and completing HEDIS

Department Quality Improvement activities that are consistent with organization strategy,

commitments, and goals. Perform duties to ensure HEDIS data accuracy and reporting, including

investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in

the service and clinical areas. The HEDIS Coordinator will follow established professional standards of

care, EHC’s guidelines, policies and procedures.

BENEFITS:

Elica is proud to offer an exciting benefits package to qualifying full-time employees which can support your health, your family, and help you plan for the future.

• 403B retirement savings account with up to 4% employer matching contribution and 100% immediate vesting.
• Healthcare: Medical (Kaiser or Western Health Advantage Options), Dental, Vision - Individual and family plans available
• Company funded Health Reimbursement Arrangement (HRA) to help pay for out-of-pocket costs related to medical coverage
• FSA Plans: 2 options for Flexible Spending Accounts - Health Care FSA and Dependent Care FSA
• Company paid basic Life and AD&D Insurance. (supplemental life and AD&D options available)
• Optional Critical Illness, Accident, ID Theft Protection and Pet insurance potions
• Accrued paid time off and paid holidays.
• Employee Assistance Plan with five (5) free counseling visits, financial services, legal services, and a plethora of online resources.
• Tuition Reimbursement program and CME/CEU program.

Learn more about Elica’s services and mission at our website or check us out on LinkedIn.

Requirements

WHAT ARE WE LOOKING FOR?

The successful candidate will be willing and able to:

• Audits and analyzes HEDIS provider data, care gap reports.
• Calls patients to schedule appointments, developing recommendations for quality improvement activities for our providers and collaborating with other departments on these activities.
• Assists with HEDIS data evaluation and reporting to affiliated entities
• Communicates with internal departments, external companies and data sources as needed for data aggregation activities
• Assists QA/QI Department in implementing key quality strategies.
• Establish relationships with community support organizations
• Engage positively with patients, peers, and & clinic staff
• Performs related duties consistent with the scope and intent of the position.

The successful candidate has:

• Audits and analyzes HEDIS provider data, care gap reports
• Calls patients to schedule appointments, developing recommendations for quality improvement activities for our providers and collaborating with other departments on these activities
• Assists with HEDIS data evaluation and reporting to affiliated entities
• Scan or upload medical records into HEDIS database
• Assists physician practices to identify opportunities to optimize HEDIS encounter data
• Communicates with internal departments, external companies and data sources as needed for  data aggregation activities
• Assists QA/QI Department in implementing key quality strategies
• Works closely with affiliated entities on provider interventions, data collection and other quality-related projects
• Work with internal programs to run reports, summarize performance data, identify opportunities and relate information effectively to the QI/QA Department
• Establish relationships with community support organizations
• Provide coverage for other Outreach Scheduler staff in their absences
• Participates in agency Performance Evaluation at scheduled intervals throughout employment
• Engage positively with patients, peers, and & clinic staff
• Performs related duties consistent with the scope and intent of the position

 Qualifications, Experience and Essential Skills Requirements

Education and Experience:

• Current License in the following disciplines is preferred: LVN, MA, RN
• At least 1 years’ experience within a non-profit, community- based health care or hospital agency setting  
• 2 years HEDIS role preferred
• 2 years of any other combination of skills/experience related to HEDIS will be considered
• Understanding of HEDIS measures, ICD-10 and CPT codes preferred
• Strong computing proficiency, including reporting software
• FMG’s (Foreign Medical Graduates) with understanding of HEDIS and Patient education will be considered
• Knowledge of modern office equipment including Excel, Microsoft Word, etc.  

Essential Skills/Abilities: 

• Exceptional written and verbal communication, flexibility and time management skills
• Demonstrate commitment to the organization’s mission
• Ability to demonstrate professionalism, integrity and strictly adhere to confidentiality standards set forth by the Health Insurance Privacy and Accountability act
• Ability to engage positively with patients, peers, and & clinic staff
• Abides by and promotes agency administrative policies
• Ability to navigate the electronic medical record
• Ability to work as a cohesive team and collaborate with internal departments
• Ability to maintain records and files
• Ability to effectively and positively work in a dynamic, fast-paced team environment and achieve objectives
• Ability to work independently as well as in a team environment

Additional Requirements

• Must have a current and valid California driver’s license and the ability to provide proof of personal auto insurance on the vehicle driven during working hours.
• If selected for an employment opportunity with Elica Health Centers, external hires must provide proof of immunizations (Hepatitis B, MMR, Varicella & Tetanus), tuberculosis clearance, and proof of COVID-19 vaccination status* prior to their scheduled start date. Please be advised that this position is subject to criminal background investigation and drug screen.

Physical Requirements and Work Environment

The work environment is characteristic of normal office conditions. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands to handle or lift. The employee is occasionally required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet.

The employee may be required to run agency related errands and attend off-site meetings; the employee must be able to operate, maneuver and/or control a motor vehicle. In performing the driving responsibilities, the driver may sit for long periods. This requires intense concentration, particularly in poor driving conditions.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

*Elica Health Centers is a healthcare facility that adheres to the mandates issued by the California Department of Public Health including the recent orders regarding the COVID-19 vaccine. Medical and religious exemptions will be considered.

Compensation - Dependent Upon Experience

$24.00 - $31.20 an hour

Salary : $24 - $31