Analyst, Outreach Coordinator, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

21.10 - 36.78 USD / Hour

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Job Description:

Help us elevate quality care via provider engagement and bring provider relationships to a whole new level! Be a part of our Aetna team- an industry leader serving the Medicare and Commercial lines of business. With compassionate attention and excellent communication, we collaborate with providers, vendors, and our internal partners to address care gaps, educational needs, and record collection for HEDIS® leading to positive outcomes for our members.

Job Responsibility:

Subject Matter Expert in Healthcare Effectiveness Data and Information Set (HEDIS®) improvement work
Interacts with providers and/or members to improve healthcare outcomes such as increased preventive care compliance
Supports provider engagement
Active participation in workgroups
Delivers quality information to internal and external constituents via written and verbal communication
Actively seeks opportunities for process improvement resulting in efficient and effective work streams
Independently map out provider outreach work plans and execute deliverables
Supports complex relationships with both internal and external constituents
Consults with constituents on solutions to business issues including education and process improvement opportunities
Support complex provider partners with HEDIS® gaps in care, digital solutions, and remote medical record collection discussions and education
Work closely with the provider partner to enhance collaboration between provider and Aetna
Provides support for HEDIS® quality initiatives and regulatory/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
Public speaking

Requirements:

3 years' recent and related health care experience in any setting
1+ years of Medicare experience and/or 1+ years of HEDIS medical record abstraction experience
1+ years member/provider education experience targeting gaps in care
Experience successfully performing in an environment where daily/weekly productivity metrics are expected
Ability to work independently
Ability to use standard corporate software packages and applications
Strong communication skills

Nice to have:

Experience speaking with medical providers and/or medical office staff
Recent and related experience working with HEDIS®
Medicare Stars experience or health insurance experience
Health care related experience in clinical, managed care or quality management
Understanding of CPT/CPTII/ICD9/ICD10 coding and medical terminology

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 09, 2025

Expiration:
September 30, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Analyst, Outreach Coordinator