Program Coordinator

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Health First. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.

Duties & Responsibilities

• Verifies reward requests based on required preventive services appropriate for the members age, gender and other accepted demographics as outlined via the Member Reward Card Program Guidelines, HEDIS/QARR Technical Specifications, and CMS/DOH guidelines
• Conducts member and provider outreach to inform on reward guidance and status using multiple internal systems and applications
• Collaborates with internal and external teams to track and document program requirements and implementation status
• Documents, communicates and presents technical improvement findings and recommendations in all systems supporting Member Rewards Program
• Provides support in creating, editing and communicating member and provider material updates
• Additional duties as necessary
  
  

Minimum Qualifications

• High School/GED Diploma from an accredited institution
• Basic knowledge of MS Word, Excel, Access, and Outlook
• Strong organizational skills
• Good communication (verbal and written) and interpersonal skills
• Flexibility, reliability, and easily adaptable to any work assignments or new computer applications
• Competent in managing responsibilities in a high-volume and fast-paced environment
• Ability to resolve member issues with patience and courtesy
  
  

Preferred Qualifications

• Associates degree from an accredited institution + 2 Years Work Experience.
• Experience processing reward card requests highly preferred.
• Bilingual in English and one or more language(s): Spanish, Mandarin, Cantonese may be required based on business needs
• Familiarity with some medical terminology.
• Experience addressing member inquiries in a managed care environment.
• Knowledge of CPT and ICD-9 codes.
  
  

Compliance & Regulatory Responsibilities: Noted above

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have questions about this posting, please contact support@lensa.com