Job Description
HEDIS/Risk Outreach Coordinator (Bilingual in Vietnamese) Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $20.00 - $25.00 Hourly Position Type Full Time Description Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members' culture and values. We're on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The HEDIS/Risk Outreach Coordinator is responsible for assisting with the deployment and implementation of various Stars and Risk adjustment programs tied to medical records retrieval strategies, collecting and tracking medical records from offices and internal systems within the organization. The coordinator will also work closely with Stars, Risk, UM/CM, Provider Relations, Member Services and other Clever teams to schedule appointments for members and for scheduling education or retrieval visits with providers, which could be IPA, MSOs, Physician Offices. The coordinator will also be involved with continuous training and education on HEDIS, Stars and Risk Adjustment measures to close gaps in care. Functions & Job Responsibilities Candidate will work with the Stars and Risk team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specif