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.
Ability to use standard corporate software packages and
Strong communication skills and experience speaking with medical
Recent and related experience working with HEDIS criteria
Ability to work independently.
Minimum 3 years' recent and related health care marketing,
outreach and/or health education experience.
Experience working in call center environment
Bachelor's degree or equivalent experience.
At Aetna, a CVS Health company, we are joined in a common
purpose: helping people on their path to better health. We are
working to transform health care through innovations that make
quality care more accessible, easier to use, less expensive and
patient-focused. Working together and organizing around the
individual, we are pioneering a new approach to total health that
puts people at the heart.
We are committed to maintaining a diverse and inclusive
workplace. CVS Health is an equal opportunity and affirmative
action employer. We do not discriminate in recruiting, hiring or
promotion based on race, ethnicity, gender, gender identity, age,
disability or protected veteran status. We proudly support and
encourage people with military experience (active, veterans,
reservists and National Guard) as well as military spouses to apply
for CVS Health job opportunities.