Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

Aetna Better Health of Oklahoma, a CVS Health company, is a trusted health partner in the local Oklahoma communities we serve. We provide a full array of innovative services that enhance overall wellness and improve everyday life for our members.;At Aetna Better Health of Oklahoma, we value professional development and career growth.;You will work along other colleagues who align on Heart at Work behaviors and bringing your heart to every moment of health.;We will support you all the way!

This is a full-time teleworker opportunity in Oklahoma.

Under the direction of the Quality Management (QM) Director and HEDIS manager, the HEDIS Coordinator is responsible for:

• Facilitates provider and member outreach to ensure member receipt of important clinical services to improvement member health outcomes. Provides support for Healthcare Effectiveness Data and Information Set (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.
• Identifies potential resources and initiates collaboration with providers to improve member health outcomes and HEDIS measures.
• Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes.
• Identifies when to refer member to Social Worker or Case Manager.
• Develops and distributes educational information to members and providers in accordance with the HEDIS outreach work plan (mailings, social media, automated calls, etc.)
• Assists in the development and standardization of outreach documentation and manages the data flow process to complete HEDIS documentation.
• Documents member participation in outreach activities in accordance with abstraction and audit standards. Conducts HEDIS provider chart request calls and mailings.
• May develop and maintain member incentive programs to support HEDIS initiatives.
• Maintains incentive database to track member compliance.
• May identify opportunities to partner with community organizations on special events and presentations (i.e., health fairs and community events).
• Works with internal staff to schedule, organize, and staff these events.
• Records and documents all member and provider outreach activity.
• Performs other duties as required.

Required Qualifications

• Must reside in Oklahoma
• 3+ years recent and related healthcare marketing, outreach, and/or health education experience
• Recent and related experience working with HEDIS criteria
• Ability to work independently
• Strong communication skills and experience speaking with medical providers
• 2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
• Must possess reliable transportation and be willing and able to travel in-state up to 10% of the time.;This includes travel to the OK City office based on business needs. Mileage is reimbursed per our company expense reimbursement policy.

Preferred Qualifications

• Project management experience
• Analytic experience

Education

• Bachelor's degree or equivalent experience.

Pay Range

The typical pay range for this role is:

$40,600.00 – $75,000.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.;The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.;This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.;

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In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.;The Company offers a full range of medical, dental, and vision benefits.;Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.;The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.;As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company;policies.;;

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For more detailed information on available benefits, please visit;jobs.CVSHealth.com/benefits

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.;

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through;ColleagueRelations@CVSHealth.com;If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.