Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Under the guidance of HEDIS leadership, this position is responsible for facilitating and completing HEDIS Quality Department-specific projects, ensuring consistency with company policies, values and goals in the annual process of gathering required medical records. In addition to serving as a role model in researching and contacting target providers, this individual serves as a facilitator and mentor to other HEDIS team members in achieving major segment component goals of the project and assists HEDIS leadership in setting and achieving tactical goals for successful completion of the project.


This individual also serves as a contributor to and consultant for potential policy and procedural changes in the gathering and use of HEDIS data as well as the quality improvement process.

MAJOR JOB DUTIES AND RESPONSIBILITIES:

• Facilitates annual HEDIS medical record collection and/or abstraction processes through successful implementation of target projects, such as large group medical record retrieval, coordination of copy services, implementation of invoicing processes, coordination of remote access record retrieval, specialized deep research assignments and other specific initiatives as identified and directed by HEDIS leadership.
• Serves as role model and inspiration to other HEDIS project Phone Team members through fast, efficient and professional practices in both researching and contacting/interacting with identified providers and other stakeholders.
• Acts as resource to other Phone Team members in conducting specialized deep research as needed to correctly identify appropriate providers from whom to request records.
• Collaborates as requested or needed with broader Team (e.g., abstractors, abstractor researchers, provider network management) in order to assist and support the identification and pursuit of required HEDIS data.
• Trains and mentors other Phone Team members, with guidance and support of leadership, in order to achieve goals of assigned projects, immediately alerting supervisor to any questions, issues or barriers that may be identified.
• Assists in the development of training materials, templates, processes, and procedures related to the project.
  

ADDITIONAL DUTIES:

• 8-4:30 EST for training, then 8-4:30 Home Time Zone
• Must be computer literate.
• Able to work from home in a quiet, private environment in a secure space.
• Must be flexible with hours due to training schedule.
• Must be reliable to have limited time off during the season.

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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