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Data Retrieval Specialist

Inland Empire Health Plan CA, US

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About the role

Overview

This is a short-term assignment.

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Manager, Data Quality, the Data Retrieval Specialist is responsible for providing technical, administrative, and clerical support for the year-round efforts to collect medical records for key quality projects (i.e., HEDIS, Risk Adjustment, DHCS special projects, ad hoc activities). Responsible for supporting departmental activities including collaboration with IEHP Providers for collection of medical records, data management, research, data entry, quality control, report generation and analysis, and adherence to established departmental workflows. The Data Retrieval Specialist exercises independent judgment to ensure appropriate escalation protocols when trends or deficiencies are identified.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

Competitive salary

State of the art fitness center on-site

Medical Insurance with Dental and Vision

Life, short-term, and long-term disability options

Career advancement opportunities and professional development

Wellness programs that promote a healthy work-life balance

Flexible Spending Account – Health Care/Childcare

CalPERS retirement

457(b) option with a contribution match

Paid life insurance for employees

Pet care insurance

Key Responsibilities

Manage the scheduling, retrieval, tracking, monitoring and quality assurance of data collection requirements from physicians for audits and internal processes supporting all HEDIS, Risk Adjustment and Quality activities.

Technical aptitude to navigate various Electronic Medical Records (EMR) systems in order to skillfully extract needed data per specified project needs.

Establish relationships with IEHP Providers and staff to foster ongoing collaboration for data collection efforts.

Serve as Team Lead to support all aspects of HEDIS Chart Collection, including planning, preparation, hands-on training, and ongoing project support for the HEDIS Task Force, HEDIS equipment testing, Provider outreach, collection of assigned charts, quality assurance and follow-up chart pursuit efforts.

Perform research, data entry and quality control on key data sources following prescribed guidelines/protocols in support of IEHP’s regulatory reporting requirements including: HEDIS, Risk Adjustment and Quality activities.

Perform a broad range of administrative duties using initiative and judgment in handling confidential and time sensitive information.

Provide backup support for Quality Systems Coordinators, assisting with IEHP’s supplement data efforts including data collection, data entry, research, quality assurance and reporting.

Qualifications

Education & Requirements

Three or more (3+) years of administrative experience in an office environment, including use of Microsoft Office Suite

One (1) year of experience in healthcare data collection from various Electronic Medical Record systems

Demonstrate superior interpersonal and administrative skills commensurate with years of experience

Experience as an EMR technician preferred

High school diploma or GED required

Associate's degree from an accredited institution preferred

Health Information Management (HIM) certification, preferred

Key Qualifications

Must have a valid California Driver’s license and valid automobile insurance

Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points

Understanding of and sensitivity to multi-cultural community

Organizational skills

Strong written and verbal communication skills. Interpersonal skills

Proficient in Microsoft Word and Excel, experienced in data entry, and strong attention to detail are essential

Ability to manage multiple tasks to coordinate, prepare and monitor projects and reports

Ability to prioritize work to ensure adherence to project deadlines

Excellent customer service and telephone courtesy

Positive attitude

Ability to work in a team setting

The employee must occasionally lift or move up to 25 pounds

Frequent travel to Provider offices for data retrieval within San Bernardino and Riverside Counties

Start your journey towards a thriving future with IEHP and apply TODAY !

Work Model Location

Telecommute

Frequent travel to Provider offices for data retrieval within San Bernardino and Riverside Counties

Pay Range

USD $25.90 - USD $33.02 /Hr.

Posting text as published by Inland Empire Health Plan.

The evidence behind this listing

Workplace
Remote Employer field
Seniority
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Employment type
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Location as listed
CA, US

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Visa sponsorship
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