The Quality Management HEDIS Supplemental Data and EMR Specialist is responsible for developing and maintaining working relationships with our providers. This position will offer support including education and data support in order to improve our HEDIS data retrieval and overall HEDIS rates.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Developing and maintaining relationships with FQHCs, large groups, and individual providers.
Assist with Remote Access to EHR systems, set up and maintenance:
Distribute and track user credentials for FQHC's and large groups and individual providers
Offer Education and assistance to the providers Interface with other departments to facilitate contact, manage and share files, etc.
Provide HEDIS measures and associated gaps lists
Provide member lists, file layout, and codes table
Files convention management and tracking
Responsible for follow up discussions and relationship management
Ensure deliverables are provided by all parties
Remote Access to EHR systems and Immunization registry, set up and maintenance
Distribute and track user credentials
Ensure user computers have appropriate, updated, software sufficient for utilizing access
Troubleshoot issues as needed to assess appropriate follow up contact
Assessing opportunities for increased inter-departmental cooperation, support
Remote access to appointment scheduling
Oversee access to, troubleshooting of, and reporting for appointments scheduling for provider groups
A minimum of 2 years of experience with population-based data and reporting in a managed care setting with Medicare and Medical programs.Strong background in public relations and team building
Project management experience
Knowledge of HEDIS quality measures.Expert proficiency in MS Word, Excel, PowerPoint, Access, and Project.
B.S./B.A in Computer Science or related field is required. Will consider a combination of work experience and education:
College coursework and 3 years of demonstrated experience as a data analyst using SQL, MS Access and Oracle considered with work experience in a related field.
Blue Shield Of California