Job Title: Patient Care Advocate
Duration: 6 months Contract (Potential to Extend Contract) FTE
Location: Remote – OH (Reside in OH – Milage is covered – Cleveland, Columbus, Toledo, Findlay, Athens, Cambridge, Lima, Bowling Green (or nearby to these larger cities)
Shift Type: 9:00 am – 5:00 pm EST (Various shifts to support later outreach hours)
Day-to-day responsibilities of this the role:
• Coordinated outreach to targeted open HEDIS gaps, reduce barriers and obstacles to care delivery (scheduling appointments, setting up transportation, educating on over the counter benefits, educating on healthy rewards available, and educating on preventative care, etc.)
• Describe the performance expectations/metrics for this individual and their team:
• PCA team members will need to communicate with members on a daily basis to aid in HEDIS gap closure. PCA staff will need to meet/exceed goals for scheduling appointments with members to close focused HEDIS care gaps.
• PCA’s need to be friendly, motivated, and responsible self-starters who can work independently in a remote environment.
• PCA’s may go to provider offices within an hour of their home to work with them on scheduling members for care gap closure and need to be available to do this upon request.
• This is an outbound call team.
Tell me about what their first day looks like:
• Immediately following onboarding and necessary Centene University trainings, PCAs will meet with hiring manager for orientation overviewing project goals, anticipated outcomes, reporting structure.
• Systems training, measure specific specifications, software and tracking methodologies.
What previous job titles or background work will in this role?
• HEDIS Outreach team; Abstractor; RN/LPN/SW; Customer Service. Bachelor's degree preferred.
Required Skills
• Proficiency with Microsoft Excel is beneficial in this role. PCA’s must feel comfortable talking with both members and providers.
• Quality/Healthcare x 2 years
• Members, Providers, multiple health plans and corporate departments
• Bachelor’s degree MUST
• Customer Service Exp