Analyst, Outreach Coordinator

regarding HEDIS measures as well as help devise a plan to assist members with getting needed services.Additional responsibilities to include but not limited to the following:- Subject Matter Expert in Healthcare Effectiveness Data and Information Set (HEDIS®)
improvement work
- Interacts with providers and/or members to improve healthcare outcomes such as
increased preventive care compliance
- Supports provider engagement
- Active participation in workgroups
- Delivers quality information to internal and external constituents via written and verbal
communication
- Actively seeks opportunities for process improvement resulting in efficient and effective
work streams
- Independently map out provider outreach work plans and execute deliverables
- Supports complex relationships with both internal and external constituents
- Consults with constituents on solutions to business issues including education and
process improvement opportunities
- Support complex provider partners with HEDIS® gaps in care, digital solutions, and
remote medical record collection discussions and education
- Work closely with the provider partner to enhance collaboration between provider and
Aetna
- Provides support for 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
- Public speakingRequired Qualifications- 3 years' recent and related health care experiencePreferred Qualifications- 3 years clinical and/or managed care experience in healthcare or quality management
- Strong communication skills and experience speaking with medical providers and/or
medical office staff
- Ability to work independently
- Ability to use standard corporate software packages and applications
- Recent and related experience working with HEDIS®
- Prior medical office or provider education experience
- Medicare Stars experience or health insurance experience
- Understanding of CPT/CPTII/ICD9/ICD 10 coding experience is a plusEducationHigh School Diploma or Equivalent GED Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$21.10 - $36.78This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 04/25/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.