HEDIS Screening Operations Coordinator

Tele-Retinal Diabetic Screening Coordinator

Responsible for working directly with Primary Care Physician (PCP) offices to ensure their non-compliant diabetic members receive their annual diabetic eye exam to fulfil the NCQA HEDIS quality measure.

Essential Functions

• Work as the main point of contact for PCP offices to coordinate successful on-site tele-retinal diabetic screenings and member outreach efforts
• Validate member eligibility for services using iCare Health Solutions' proprietary software
• Perform initial training and ongoing support for point of contact at PCP offices
• Manage and validate non-compliant patient lists sent from health plan partners as well as PCP offices
• Coordinate the schedule of HEDIS Technicians for tele-retinal diabetic screenings
• Collaborate with team members and management, as well as screening location staff, to form appropriate action plans to meet the client's needs
• Capture and analyze data to drive informed outcomes
• Provide outreach to members and assist in the scheduling of appointments with vision providers
• Work with business partners to identify process improvements and perform other duties as assigned by management

Job Specifications

Typically has the following skills or abilities:

• Two to four years of experience in Vision Care or healthcare
• Proven ability to build and maintain strong relationships with internal stakeholders and external providers
• Excellent interpersonal skills, initiative, and the ability to work both independently and collaboratively
• Must be prompt, organized, and have excellent time management capabilities
• Ability to work on multiple tasks simultaneously and adapt to changing priorities
• Microsoft Word, Excel, and Outlook proficiency; ability to learn company's software systems
• Bi-lingual (English/Spanish) preferred
• Strong motivational influence and communication skills
• Excellent written and verbal communication skills and analytical skills

The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust etc.

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability, or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing.