Job Description

Description and Requirements

Job Profile Summary The Program Coordinator, Reward Card Program in Clinical Quality is responsible for supporting Healthfirst initiatives and regulatory requirements related to Member Rewards and Incentives, HEDIS Quality Improvement, Medicare Stars and Member Satisfaction. This position is both internal (EDS, Marketing, etc.) and external (Members, Provider, Vendor) facing. Duties & Responsibilities:
  • Verifies reward requests based on required preventive services appropriate for the member’s 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, ...

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