JobMesh

Project Manager, HEDIS Navigator

Regal Medical Group · Orange, California, US

The Project Manager, Navigator HEDIS will serve as the Medicare Stars health navigator to prioritize quality improvement efforts for BSC Medicare members and...

Job description

The Project Manager, Navigator HEDIS will serve as the Medicare Stars health navigator to prioritize quality improvement efforts for BSC Medicare members and may include member outreach by scheduling appointments for targeted HEDIS measures and/or provider outreach for data reconciliation. The Project Manager Health navigator will play a crucial role in improving the provider organization’s Part C rating through member outreach and/or data retrieval. The health navigator’s role and responsibilities may include member outreach by scheduling appointments for targeted HEDIS measures and/or provider outreach for data reconciliation. The health navigator will work closely with the provider organization’s quality team and the assigned BSC program manager. The Health Navigator will provide monthly updates during scheduled meetings, maintain accurate tracking of patient outreach efforts, and coordinate with PCPs and specialists to ensure members remain compliant with all required preventive and chronic condition management services. Responsibilities include: The pay range for this position at commencement of employment is expected to be between $70,304 annually; however, base pay offered m...