hedis coordinator

Blue Shield of California

<div>
 
 Job Description
 
 
 
 
 Your Role
 
 
 
 The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.
 
 
 Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
 
 
 
 Responsibilities
 
 
 
 
 Your Work
 
 
 
 
 In this role, you will:
 
 
 
 <ul>
 <li>
 Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
 </li>
 <li>
 Educate members on missing care gaps and provide encouragement to obtain missing service.
 </li>
 <li>
 Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
 </li>
 <li>
 Manage and maintain HEDIS files and medical records
 </li>
 <li>
 Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
 </li>
 <li>
 Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
 </li>
 <li>
 Research member claims and encounters to identify accurate pursuit information for medical record retrieval
 </li>
 <li>
 Review medical records and identify elements for compliance
 </li>
 <li>
 Create and maintain detailed logs of member and provider interactions
 </li>
 <li>
 Ability to de-escalate situations
 </li>
 <li>
 Assist in onboarding contingent workforce for HEDIS and outreach projects
 </li>
 <li>
 EMR and vendor portal medical record retrieval
 </li>
 <li>
 Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
 </li>
 <li>
 Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
 </li>
 <li>
 Ability to work independently in a fast-paced environment with minimal errors
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 Your Knowledge and Experience
 
 
 
 <ul>
 <li>
 Requires a high school diploma or equivalent
 </li>
 <li>
 Requires limited knowledge of systems and procedures
 </li>
 <li>
 Typically, has limited or no prior experience
 </li>
 <li>
 Communication and interpersonal skills
 </li>
 <li>
 Must be organized with the ability to keep accurate notes and records
 </li>
 <li>
 Customer service experience is preferred
 </li>
 <li>
 HEDIS knowledge strongly preferred
 </li>
 <li>
 Critical thinking skills
 </li>
 <li>
 Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches
 
 
 </li>
 </ul>
 
 Hybrid Virtual Work
 
 
 
 This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
 
 
 
 About The Team
 
 
 
 
 About Blue Shield of California
 
 
 
 As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
 
 
 At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
 
 
 To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
 
 
 Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
 
 
 
 Our Values:
 
 
 
 <ul>
 <li>
 Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
 </li>
 <li>
 Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
 </li>
 <li>
 Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
 
 
 </li>
 </ul>
 
 Our Workplace Model
 
 
 
 We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
 
 
 <ul>
 <li>
 For most teams, this means coming into the office two days per week.
 </li>
 <li>
 Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
 </li>
 <li>
 For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
 
 
 </li>
 </ul>
 The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
 
 
 
 Physical Requirements:
 
 
 
 Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
 
 
 Please click here for further physical requirement detail.
 
 
 
 Equal Employment Opportunity:
 
 
 
 External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
</div>

Clinical Quality Coordinator, Entry

<div>Your Role 
 
The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work. 
 
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.</div>
 <div>Your Work
In this role, you will:
<ul><li>Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
</li><li>Educate members on missing care gaps and provide encouragement to obtain missing service.
</li><li>Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
</li><li>Manage and maintain HEDIS files and medical records
</li><li>Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
</li><li>Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
</li><li>Research member claims and encounters to identify accurate pursuit information for medical record retrieval
</li><li>Review medical records and identify elements for compliance
</li><li>Create and maintain detailed logs of member and provider interactions
</li><li>Ability to de-escalate situations
</li><li>Assist in onboarding contingent workforce for HEDIS and outreach projects
</li><li>EMR and vendor portal medical record retrieval
</li><li>Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
</li><li>Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
</li><li>Ability to work independently in a fast-paced environment with minimal errors</li></ul></div>
 <div>Your Knowledge and Experience
<ul><li>Requires a high school diploma or equivalent
</li><li>Requires limited knowledge of systems and procedures
</li><li>Typically, has limited or no prior experience
</li><li>Communication and interpersonal skills
</li><li>Must be organized with the ability to keep accurate notes and records
</li><li>Customer service experience is preferred
</li><li>HEDIS knowledge strongly preferred
</li><li>Critical thinking skills
</li>Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches 
<li>
</li></ul>Hybrid Virtual Work
 
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.</div>
 <div>ABOUT THE TEAM 
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
Our Values:
<ul><li>Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
</li><li>Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
</li><li>Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
</li></ul><div>Our Workplace Model
We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
<ul><li>For most teams, this means coming into the office two days per week.
</li><li>Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
</li><li>For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
</li></ul>The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
</div>Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. 
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.</div>

The Home Depot

<div>Position Purpose:
The HDIS Installation Coordinator operates as an internal and external customer support expert that helps build, manage, and facilitate an excellent customer experience. Installation Coordinators assist customers and Install Field teams. Installation Coordinators are expected to direct the flow of jobs based on various needs of the business and are responsible for monitoring job statuses for all interior and exterior product lines, scheduling pre-installation inspections with customers, completing job movement tasks, and managing the services process in the branch. Installation Coordinators are expected to be the main point of contact between the customer and The Home Depot for all job-related needs. This position meets and exceeds performance metrics relating to timely completion of paperwork and efficient movement of jobs within their book of business while contributing to the goals of installing 100% backlog. 
Key Responsibilities:<ul><li>
35% Customer Experience - Initiates and maintains regular communication with customer across the install life cycle, ensures timely customer follow-up, and resolves open questions. Facilitates customer satisfaction from point-of-sale through follow up service and provides ongoing support for job-related issues</li><li>
25% Job Process Support - Communicates and coordinates with internal and external branch partners throughout the organization including the Branch Support Center (Exteriors), Sales, Installation, and any others as necessary for all job level inquires and assists team with customer escalations and exceptions. Assists in supporting branch operations and efficient movement of jobs</li><li>
40% Operations - Facilitates efficient intake and management of all open jobs across the install life-cycle, reviews paperwork for accuracy, works with customers to collect payment, schedules Pre-Installation inspections, completes data entry requirements, places material orders for interior product lines, and processes labor bills for 3rd party Services Providers. Manages intake of service tickets and schedules services with customer, as necessary</li></ul> 

Direct Manager/Direct Reports:<ul><li>
This position reports to the District Installation Manager</li><li>
This position has 0 Direct Reports</li></ul> 

Travel Requirements:<ul><li>
Typically requires overnight travel less than 10% of the time.</li></ul> 

Physical Requirements:<ul><li>
Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles.</li></ul> 

Working Conditions:<ul><li>
Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable.
</li></ul> 
Minimum Qualifications:<ul><li>
Must be eighteen years of age or older.</li><li>
Must be legally permitted to work in the United States.</li></ul> 

Preferred Qualifications:<ul><li>
Knowledge or experience in the home improvement or construction industry is preferred and prior clerical and/or administrative background</li><li>
Excellent interpersonal and customer service skills with a strong sense of urgency and problem-solving skills</li></ul> 

Minimum Education:<ul><li>
The knowledge, skills and abilities typically acquired through the completion of a high school diploma and/or GED.</li></ul> 

Preferred Education:<ul><li>
No additional education</li></ul> 

Minimum Years of Work Experience:<ul><li>
1</li></ul> 

Preferred Years of Work Experience:<ul><li>
No additional years of experience</li></ul> 

Minimum Leadership Experience:<ul><li>
None</li></ul> 

Preferred Leadership Experience:<ul><li>
None</li></ul> 

Certifications:<ul><li>
None</li></ul> 

Competencies:<ul><li>
Self- motivated and must have initiative to complete tasks with little or no direction</li><li>
Strong communication skills, both written and verbal</li><li>
Strong organizational skills and attention to detail and ability to work in a fast paced environment</li><li>
Computer skills with proficiency in Microsoft Office</li><li>
Proven ability to manage multiple tasks simultaneously; keep accurate records and follow-up as necessary to complete customer's job accurately and on time</li></ul></div>

HDIS Installation Coordinator

EmblemHealth

<div></div><div><div>Summary of Job</div><div>
Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the enterprise. Facilitate provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes. Daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care. Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental data collection activities. Track calls for all lines of business related to the MTM, OMW, and Medication Adherence quality measures, reporting weekly completion statistics. Produce and process department mailings to members and physicians. Monitor internal mailboxes for department faxes and calls. Collaborate with internal departments in order to administer the MTM, OMW, and Medication Adherence quality measures.</div><div>
Responsibilities</div><ul><li>
Work closely with Clinical Pharmacist(s), Registered Nurses and Data Analyst(s) to prioritize members for outreach who fall in HEDIS measures including but not limited to Medication Adherence and OMW (Osteoporosis Management in Women who had a fracture) and the STAR measure MTM (Medication Therapy Management) Program. 
</li><li>
Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care supporting Enterprise goals. 
</li><li>
Perform daily provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes. 
</li><li>
Prepare and execute member and provider mailings. 
</li><li>
Collaborate with providers and internal departments to ensure the receipt and correct processing of all supplemental data related to HEDIS claims and records and assist in correcting discrepancies. 
</li><li>
Maintain high data integrity while adhering to HIPAA standards and protecting patient information. 
</li><li>
Perform provider outreach to verify and document member&rsquo;s appropriate medical diagnoses and subsequent treatments both by telephone and in writing. 
</li><li>
Coordinate call tracking and provide statistics to stakeholders. 
</li><li>
Intake and organize data from other departments while ensuring proper compliance with all CMS regulations, policies and procedures. 
</li><li>
Other duties/projects as assigned.</li></ul>
<div><div>Qualifications</div><ul><li>
High School Diploma (Required) 
</li><li>
College Degree (Preferred) 
</li><li>
Pharmacy Technician License (Preferred) 
</li><li>
Minimum of 1 year direct customer service experience in a healthcare setting (Required) 
</li><li>
Excellent telephonic and customer service skills (Required) 
</li><li>
Experience analyzing data and building action plans based upon data outcomes (Required) 
</li><li>
Personal motivation to achieve set goals (Required) 
</li><li>
Flexibility and ability to adjust workflow to achieve company goals (Required) 
</li><li>
Experience with or knowledge of Electronic Medical Records (Preferred) 
</li><li>
Knowledge of or experience with HEDIS, STAR ratings, and/or quality improvement (Preferred) 
</li><li>
Experience in a managed care health services environment (Preferred) 
</li><li>
Experience in data collection, data entry and analysis (Preferred) 
</li><li>
Knowledge of Excel and other analytical tools (Preferred)</li></ul>
</div><div>Additional Information
<ul><li>Requisition ID: 1000003045</li>
<li>Hiring Range: $39,960-$70,200</li></ul></div></div>

Quality Outreach Specialist - Remote

Methodist Health System

<div>Hours of Work :
40 hours per week
Days Of Week :
Monday - Friday
Work Shift :
Job Description :<div>
Your Job: 
The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff (&ldquo;Patient Care team&rdquo;) in various quality driven projects and act as an extension of the Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate skill level. The position has a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant. The Care Coordinator works under the direction of the MMG Care Coordination Clinical Manager and in coordination with the Patient Care Team to outreach to patients whose clinical measures need to be addressed. This individual will partner with MMG Primary Care physician offices to help achieve benchmarks for patient care and maintain/improve quality of care delivery across multiple payers and patient populations. 
 
Your Job Requirements: 
 
<ul><li>Graduation from an accredited Medical Assistant program</li><li>Medical Assistant Certification required</li><li>Experience of at least 5 years as a Certified Medical Assistant</li><li>High school graduate or GED equivalent.</li><li>Current Basic Life Support certification.</li><li>Proven ability to mentor others</li><li>Expert in computer literacy in electronic health record.</li><li>Knowledge of medical terminology.</li><li>HEDIS Quality Measures experience</li><li>Excellent communication and customer service skills required</li><li>Proficiency in Word, Excel, and PowerPoint required.</li><li>Ability to work independently, while collaborating with other team members</li><li>Ability to self-motivate, prioritize, and be willing to invest in a change process to improve efficiencies</li></ul> 
Your Job Responsibilities: 
 
<ul><li>Educate and train Patient Care team on standardized operational workflows, developed in coordination with Care Coordination Clinical Manager, to close gaps in care and ultimately optimize quality metrics as measured by various value-based care programs</li><li>Partner with the Patient Care team to assist patients in completing health screens and address preventive care measures that are not yet completed</li><li>Support the Patient Care team as needed by outreaching to Patients with clinical measures needing to be addressed, to either address clinical measures over the telephone or scheduling an office visit for the Patients to address the clinical measures</li><li>Update preventive health screens and clinical measures that have been determined as completed in the EMR, as needed</li><li>Communicate regularly with interdisciplinary team members to coordinate/update a patient&rsquo;s care</li><li>Maintain accurate tracking log of patients who have been outreached and status of their preventive health screens and clinical measures</li><li>Participate in various quality driven initiatives within MMG and collaborate together to achieve high level patient outcomes</li><li>Submit data to external agencies as directed by Care Coordination Clinical Manager</li><li>Explain the importance of preventive health screens and clinical measures to patients and families</li><li>Perform as needed all duties at the expert level within the scope of a Medical Assistant&rsquo;s scope of practice</li><li>Record patient care documentation in the medical record accurately and in a timely manner</li><li>Coordinate patient care as directed by provider, and policies/procedures</li><li>Rotate clinic to clinic within MMG locations as assigned by Care Coordination Clinical Manager</li></ul></div> 
Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we&rsquo;ve earned:<ul><li>
Great Place to Work Certified 2026-2027</li><li>
Glassdoor&rsquo;s Best Places to Work 2025 &amp; 2026</li><li>
Glassdoor&rsquo;s Best Places to Work in Healthcare, Biotech &amp; Pharma 2026</li><li>
TIME&rsquo;s Best Companies for Future Leaders 2025 &amp; 2026</li><li>
Newsweek&rsquo;s America&rsquo;s Most Admired Workplaces 2026</li><li>
Glassdoor&rsquo;s Best-Led Companies 2025</li><li>
Fortune Best Workplaces in Health Care 2025</li><li>
Military Friendly Gold Employer 2025</li><li>
Becker&rsquo;s Hospital Review 150 Top Places to Work in Healthcare 2025</li><li>
Newsweek&rsquo;s Americas Greatest Workplaces 2025</li></ul></div>

Clinical Care Coordinator

Vheda Health

<div>Important Notice: Please be aware of recruiting scams &mdash; Vheda Health will never ask for sensitive, personal information or payment information during the hiring process. Further, Vheda Health will only contact eligible candidates (who apply for an eligible role) from our domain &mdash; vheda.com. All active career postings can be found at www.vheda.com/careers. 
About Vheda Health 
Vheda Health is a leader in virtual health engagement, dedicated to improving health equity for underserved populations. With over 10 years of experience and a strong national presence, our turnkey chronic care programs provide simple access to care from anywhere, helping health plans deliver better outcomes for their members.
We&rsquo;re Hiring a Clinical Coordinator to Join Our Team! 
This full-time position is an impactful role that directly influences the lives of underserved, vulnerable, and at-risk populations. We are seeking candidates who leverage their clinical knowledge and critical thinking skills to triage effectively, delegate tasks, identify risks, and close gaps in care. Your responsibilities will include contacting individuals with out-of-range vital signs or device readings, assessing their immediate health needs, reminding them of available resources, and documenting all interactions. As a Clinical Member Coordinator, you will receive real-time data through remote patient monitoring devices and be fully supported by our online platform, ensuring the highest adherence to care plans. This role is fully remote but may require travel to our offices in Columbia, MD, up to four times per year for companywide events and meetings. 
Key Responsibilities<ul><li>
Telephonic Consultation: Provide telephonic consultation to assigned patient cohorts to triage and assess for disposition.</li></ul><ul><li>
Non-Compliance Focus: Consult with individual members who are non-compliant, focusing on reengagement.</li></ul><ul><li>
Team Collaboration: Collaborate with clinical services, health coaching, and member support teams to coordinate services for assigned patient cohorts.</li></ul><ul><li>
Relationship Building: Develop, communicate, and maintain strong working relationships with the clinical services team, providing support and consultation as needed.</li></ul><ul><li>
Patient Education: Facilitate and/or delegate patient education in support of standards of care and best practices using the most appropriate modality for each member.</li></ul><ul><li>
Resource Maximization: Assist members with mobile care management devices and maximize their access to available resources.</li></ul> 
 
Required Qualifications<ul><li>
Current and active medical certification such as MA, CNA, MedTech, LPN, Health Coach, Case Management, etc.</li></ul><ul><li>
Minimum of 1-3 years of experience in a medical care setting.</li></ul><ul><li>
General knowledge of chronic disease management and progression (e.g., Diabetes, Hypertension, Congestive Heart Failure, Asthma, COPD, Weight Management, Mental/Behavioral Health).</li></ul><ul><li>
Proficient with technology and web-based applications.</li></ul><ul><li>
Proven ability to work effectively in a remote setting, demonstrating strong communication and collaboration skills.</li></ul><ul><li>
Demonstrate effective communication skills with compassion and empathy.</li></ul><ul><li>
Possess exceptional interpersonal, organization, and communication skills.</li></ul> 
Additional Preferred Skills<ul><li>
Previous experience in Urgent, Emergent, and/ or front/back medical office care settings.</li></ul><ul><li>
Proven experience working with diverse populations.</li></ul><ul><li>
Understanding of Medicaid and/or Medicare</li></ul><ul><li>
Experience with telephonic provider and/or patient outreach.</li></ul><ul><li>
Experience with HEDIS and/or NCQA standards.</li><li>
Fluency in Spanish preferred, but not required.</li></ul> 
Vheda Health Benefits
At Vheda, we care about your health, your family and your future and strive to have our benefits reflect that. This includes:<ul><li>
Competitive salary: Up to $60,000 per year</li></ul><ul><li>
Comprehensive health Insurance including medical, dental, vision, LTD, STD and life insurance</li></ul><ul><li>
401(k)</li></ul><ul><li>
Unlimited paid time off</li></ul><ul><li>
12 paid company holidays</li></ul><ul><li>
Engaging team events</li></ul> 
We provide equal opportunities to everyone who works for us and every applicant. We consider applicants for all positions without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, military or veteran status, or any other legally protected status. We enthusiastically celebrate the diversity of our team and believe that talent, passion, and experience are the only relevant criteria for considering new team members.</div>

Clinical Coordinator

<div><div>Important Notice: Please be aware of recruiting scams &mdash; Vheda Health will never ask for sensitive, personal information or payment information during the hiring process. Further, Vheda Health will only contact eligible candidates (who apply for an eligible role) from our domain &mdash; vheda.com. All active career postings can be found at www.vheda.com/careers. 
About Vheda Health 
Vheda Health is a leader in virtual health engagement, dedicated to improving health equity for underserved populations. With over 10 years of experience and a strong national presence, our turnkey chronic care programs provide simple access to care from anywhere, helping health plans deliver better outcomes for their members.
We&rsquo;re Hiring a Clinical Coordinator to Join Our Team! 
This full-time position is an impactful role that directly influences the lives of underserved, vulnerable, and at-risk populations. We are seeking candidates who leverage their clinical knowledge and critical thinking skills to triage effectively, delegate tasks, identify risks, and close gaps in care. Your responsibilities will include contacting individuals with out-of-range vital signs or device readings, assessing their immediate health needs, reminding them of available resources, and documenting all interactions. As a Clinical Member Coordinator, you will receive real-time data through remote patient monitoring devices and be fully supported by our online platform, ensuring the highest adherence to care plans. This role is fully remote but may require travel to our offices in Columbia, MD, up to four times per year for companywide events and meetings. 
Key Responsibilities<ul><li>
Telephonic Consultation: Provide telephonic consultation to assigned patient cohorts to triage and assess for disposition.</li></ul><ul><li>
Non-Compliance Focus: Consult with individual members who are non-compliant, focusing on reengagement.</li></ul><ul><li>
Team Collaboration: Collaborate with clinical services, health coaching, and member support teams to coordinate services for assigned patient cohorts.</li></ul><ul><li>
Relationship Building: Develop, communicate, and maintain strong working relationships with the clinical services team, providing support and consultation as needed.</li></ul><ul><li>
Patient Education: Facilitate and/or delegate patient education in support of standards of care and best practices using the most appropriate modality for each member.</li></ul><ul><li>
Resource Maximization: Assist members with mobile care management devices and maximize their access to available resources.</li></ul> 
 
Required Qualifications<ul><li>
Fluent in Spanish</li></ul><ul><li>
Current and active medical certification such as MA, CNA, MedTech, LPN, Health Coach, Case Management, etc.</li></ul><ul><li>
Minimum of 1-3 years of experience in a medical care setting.</li></ul><ul><li>
General knowledge of chronic disease management and progression (e.g., Diabetes, Hypertension, Congestive Heart Failure, Asthma, COPD, Weight Management, Mental/Behavioral Health).</li></ul><ul><li>
Proficient with technology and web-based applications.</li></ul><ul><li>
Proven ability to work effectively in a remote setting, demonstrating strong communication and collaboration skills.</li></ul><ul><li>
Demonstrate effective communication skills with compassion and empathy.</li></ul><ul><li>
Possess exceptional interpersonal, organization, and communication skills.</li></ul> 
Additional Preferred Skills<ul><li>
Previous experience in Urgent, Emergent, and/ or front/back medical office care settings.</li></ul><ul><li>
Proven experience working with diverse populations.</li></ul><ul><li>
Understanding of Medicaid and/or Medicare</li></ul><ul><li>
Experience with telephonic provider and/or patient outreach.</li></ul><ul><li>
Experience with HEDIS and/or NCQA standards.</li><li>
Fluency in Spanish preferred, but not required.</li></ul> 
Vheda Health Benefits
At Vheda, we care about your health, your family and your future and strive to have our benefits reflect that. This includes:<ul><li>
Competitive salary: Up to $60,000 per year</li></ul><ul><li>
Comprehensive health Insurance including medical, dental, vision, LTD, STD and life insurance</li></ul><ul><li>
401(k)</li></ul><ul><li>
Unlimited paid time off</li></ul><ul><li>
12 paid company holidays</li></ul><ul><li>
Engaging team events</li></ul> 
We provide equal opportunities to everyone who works for us and every applicant. We consider applicants for all positions without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, military or veteran status, or any other legally protected status. We enthusiastically celebrate the diversity of our team and believe that talent, passion, and experience are the only relevant criteria for considering new team members.</div><div><div>
The pay range for this role is:</div><div>
40,000 - 60,000 USD per year (Remote)</div></div></div>

Bilingual Clinical Coordinator

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