Health Plan Project Coordinator Senior (Project Coordinator)
This position is part of the Medicare division of the Health Plans’ Quality Management Department. A working knowledge of HEDIS and other 5 Star Measures is essential. The Project Coordinator oversees the 5 Star Committee and works directly with the Medical Director and other responsible managers to develop and carry through performance improvement initiates. It is the responsibility of the Project Coordinator to track performance through an extensive dashboard. The Project Coordinator will be the liaison between the Health Plan and associated vendors and is accountable for process improvement. The Project Coordinator conducts in-services for providers and staff. The Project Coordinator promotes member compliance with screenings, medication adherence, etc. The Project Coordinator also supports the annual HEDIS audit through medical record retrieval and abstraction utilizing a database platform.
Monday-Friday: 8:00AM-5:00PM, flexible start time
About University Physicians Health Plans
The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to change the way care is provided. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
The primary purpose of the position is to provide project coordination support for the daily operations of the Clinical Services Department in order to ensure compliance with AHCCCS and CMS requirements. Under the guidance of the Manager or Supervisor, this position will organize and manage program specific data, generating on-going and focused study reports with statistical analysis drawn from the data. Program specific maintenance of tracking, monitoring, member and provider outreach is required. Will provide administrative support functions for programs within the Clinical Services Department.
High school diploma/GED or equivalent working knowledge.Experience typically gained through 5 years of experience in administrative support, project coordination, data analysis or medical assistant experience preferably in a health plan setting.
Requires skill in organizing work and records to ensure compliance with regulatory agencies. Ability to communicate effectively, both verbally and in writing. Requires an organized individual who can prioritize the workload to efficiently produce timely and accurate results under varying situations. Skills to manage significant amounts of electronic data through the use of a computerized office suite. Ability to set priorities relative to work load in a fast paced environment and to complete and assist in the management of projects and provides support on a variety of different projects. Ability to multi-task in a fast paced environment with frequent interruptions. Must possess the ability to work cohesively in a team environment.
Familiarity with AHCCCS and CMS plans and programs preferred. Bilingual skills (English/Spanish) preferred
Additional related education and/or experience preferred.