Astrana Health
Patient Engagement Specialist I (Temp-to-Perm) - Must reside in SD
Astrana Health, California, Missouri, United States, 65018
Patient Engagement Specialist I (Temp-to-Perm) – Must Reside in SD
Location: 600 City Parkway West, 10th Floor, Orange, CA 92868 (Remote work with SD residency). Compensation: $20.00 - $25.00 per hour.
Department: Quality – Quality Care Improvement. Manager: Manager – Quality Care Improvement. Position type: Temporary to Permanent. Seniority: Entry Level.
About the Role We are currently seeking a highly motivated Patient Engagement Specialist I in the San Diego area. This role reports to the Manager – Quality Care Improvement and focuses on outreach to members, scheduling assistance, and retrieving records through portals, EMRs, or on‑site provider visits to support gap closures.
Our Values
Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
What You’ll Do
Conduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteous and engaging manner.
Request and gather necessary medical records.
Effectively organize projects and tasks based on priority.
Collaborate with health plan, PCP, and healthcare team to ensure timely communication of member's clinical information.
Generate letters and faxes to PCPs, specialists, patients, and other healthcare team members.
Apply analytical problem‑solving skills.
Coordinate care for patients as appropriate (scheduling appointments, creating authorizations, etc.).
Maintain strict confidentiality of business discussions.
Travel to various offices as designated.
Handle ad‑hoc projects as assigned.
Work overtime to meet tight deadlines when required.
Comply with department policy and procedures.
Collect and collate appropriate data from IPA network providers for HEDIS measures.
Collect medical records, conduct reviews, and ensure accuracy of documentation for reporting.
Summarize and trend provider performance data to include provider education.
Participate in ongoing discussions concerning data collections and analysis for HEDIS.
Assist in planning and implementation of projects to improve delivery of services and quality of care.
Understand CMS, HEDIS, NCQA, Health Plan Quality Standards, and HIPAA principles.
Generate and maintain accurate weekly/monthly/quarterly reports of activities.
Attend to health plans, provider, and interdepartmental calls.
Qualifications
Must reside in San Diego.
Minimum of Associate’s degree, Bachelor’s degree, or equivalent experience.
Experience with Microsoft Office (Word, Excel, Outlook).
Proficiency in electronic scheduling.
At least one year of HEDIS‑related experience.
Driver’s License, reliable transportation, and willingness to travel between office locations as needed.
Prioritize and effectively multitask.
Adapt quickly to various situations.
Excellent organizational skills and strong attention to detail.
Effective and professional communication skills.
Self‑driven, quick learner, patient, and able to work with people of different personalities.
Preferred (You’re Great for the Role, if)
Fluent in Spanish.
1‑3 years of IPA/MSO/HP or general healthcare experience.
Excellent analytical, critical reasoning, and interpersonal communication skills.
Ability to work in a fast‑paced environment.
Maintain a high level of confidence and discretion when handling sensitive matters.
Environmental Job Requirements and Working Conditions
Remote position; candidates must reside in San Diego, CA. Home office at 600 City Parkway West, 10th Floor, Orange, CA 92868.
Schedule: Full‑time, Monday through Friday, 8:00 AM – 5:00 PM.
Compensation range: $20.00 – $25.00 per hour.
Equal Opportunity Employer Astrana Health is a proud Equal Employment Opportunity and affirmative action employer. We do not discriminate on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, veteran status, disability status, or any other protected class. All employment decisions are made on qualifications, merit, and business need.
If you require assistance applying for an open position due to a disability, please email
humanresourcesdept@astranahealth.com
to request an accommodation.
Additional Information The job description does not constitute an employment agreement between the employer and employee and is subject to change as the employer’s needs and job requirements evolve.
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Department: Quality – Quality Care Improvement. Manager: Manager – Quality Care Improvement. Position type: Temporary to Permanent. Seniority: Entry Level.
About the Role We are currently seeking a highly motivated Patient Engagement Specialist I in the San Diego area. This role reports to the Manager – Quality Care Improvement and focuses on outreach to members, scheduling assistance, and retrieving records through portals, EMRs, or on‑site provider visits to support gap closures.
Our Values
Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
What You’ll Do
Conduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteous and engaging manner.
Request and gather necessary medical records.
Effectively organize projects and tasks based on priority.
Collaborate with health plan, PCP, and healthcare team to ensure timely communication of member's clinical information.
Generate letters and faxes to PCPs, specialists, patients, and other healthcare team members.
Apply analytical problem‑solving skills.
Coordinate care for patients as appropriate (scheduling appointments, creating authorizations, etc.).
Maintain strict confidentiality of business discussions.
Travel to various offices as designated.
Handle ad‑hoc projects as assigned.
Work overtime to meet tight deadlines when required.
Comply with department policy and procedures.
Collect and collate appropriate data from IPA network providers for HEDIS measures.
Collect medical records, conduct reviews, and ensure accuracy of documentation for reporting.
Summarize and trend provider performance data to include provider education.
Participate in ongoing discussions concerning data collections and analysis for HEDIS.
Assist in planning and implementation of projects to improve delivery of services and quality of care.
Understand CMS, HEDIS, NCQA, Health Plan Quality Standards, and HIPAA principles.
Generate and maintain accurate weekly/monthly/quarterly reports of activities.
Attend to health plans, provider, and interdepartmental calls.
Qualifications
Must reside in San Diego.
Minimum of Associate’s degree, Bachelor’s degree, or equivalent experience.
Experience with Microsoft Office (Word, Excel, Outlook).
Proficiency in electronic scheduling.
At least one year of HEDIS‑related experience.
Driver’s License, reliable transportation, and willingness to travel between office locations as needed.
Prioritize and effectively multitask.
Adapt quickly to various situations.
Excellent organizational skills and strong attention to detail.
Effective and professional communication skills.
Self‑driven, quick learner, patient, and able to work with people of different personalities.
Preferred (You’re Great for the Role, if)
Fluent in Spanish.
1‑3 years of IPA/MSO/HP or general healthcare experience.
Excellent analytical, critical reasoning, and interpersonal communication skills.
Ability to work in a fast‑paced environment.
Maintain a high level of confidence and discretion when handling sensitive matters.
Environmental Job Requirements and Working Conditions
Remote position; candidates must reside in San Diego, CA. Home office at 600 City Parkway West, 10th Floor, Orange, CA 92868.
Schedule: Full‑time, Monday through Friday, 8:00 AM – 5:00 PM.
Compensation range: $20.00 – $25.00 per hour.
Equal Opportunity Employer Astrana Health is a proud Equal Employment Opportunity and affirmative action employer. We do not discriminate on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, veteran status, disability status, or any other protected class. All employment decisions are made on qualifications, merit, and business need.
If you require assistance applying for an open position due to a disability, please email
humanresourcesdept@astranahealth.com
to request an accommodation.
Additional Information The job description does not constitute an employment agreement between the employer and employee and is subject to change as the employer’s needs and job requirements evolve.
#J-18808-Ljbffr