What are the responsibilities and job description for the HCI Projects Representative position at SCAN?
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.
The Job
Support the Encounter Data team, Risk Adjustment team, and the Health Care Informatics department by (1) being a liaison to internal and external customers (2) monitoring, tracking, documenting encounter data and risk adjustment trends, (3) researching issues from a data content perspective, and (4) ensuring internal and external customer satisfaction and issue closure. Perform all functions within department policies and procedures, regulatory timeframes and guidelines, and under the guidance of the Healthcare Informatics management team.
You Will
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.
The Job
Support the Encounter Data team, Risk Adjustment team, and the Health Care Informatics department by (1) being a liaison to internal and external customers (2) monitoring, tracking, documenting encounter data and risk adjustment trends, (3) researching issues from a data content perspective, and (4) ensuring internal and external customer satisfaction and issue closure. Perform all functions within department policies and procedures, regulatory timeframes and guidelines, and under the guidance of the Healthcare Informatics management team.
You Will
- Contact provider offices and medical groups regarding encounter data submissions and risk adjustment rends, serving as a resource and liaison.
- Analyze, interpret, document encounter data and risk adjustment data to identify potential issues and trends.
- Coordinate the collection of encounter data and correction of rejections so that files may be resubmitted by providers, error free.
- Educate provider partners regarding how to submit encounter data and forms correctly.
- Participate in daily administrative duties and monitoring of Encounter Data and Risk Adjustment data.
- Field external provider partner questions and reporting requests received via calls or emails.
- Support department projects/tasks as they arise. This includes generating standard and ad-hoc reports, managing contact lists, and monitoring metrics.
- Assist the implementation of direct response campaigns (via emails, calls, webinars, etc.) to ensure external partner responsiveness and training.
- Contribute to team effort by accomplishing related results as needed.
- Actively support the achievement of SCAN’s Vision and Goals.
- Other duties as assigned.
- Bachelor’s Degree in Business, Information Systems (or related field), or equivalent education/experience.
- 1 year of operations, data analysis, or information management experience in healthcare industry is strongly preferred.
- Strong organizational and project management skills.
- Excellent oral and written communication skills
- Excellent customer service skills
- Eagerness to contribute to a team-oriented environment
- Strong commitment to detail with ability to work with minimal supervision
- Base Pay Range: $20 to $32 per hour
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Salary : $20 - $32
