Program Coordinator

@ Lensa

About the Role

Lensa, a career site that helps job seekers find great jobs in the US, is promoting this opportunity on behalf of Health First. Note that Lensa is not a staffing firm and does not hire directly.

Duties & Responsibilities

• Verify reward requests based on preventive services and guidelines.
• Conduct member and provider outreach using multiple systems.
• Collaborate with internal and external teams on program tracking.
• Document, communicate, and present technical improvement findings.
• Create, edit, and update member and provider materials.
• Perform additional duties as necessary.

Minimum Qualifications

• High School/GED Diploma.
• Basic knowledge of MS Word, Excel, Access, and Outlook.
• Strong organizational, communication, and interpersonal skills.
• Adaptable with a high-volume, fast-paced environment.
• Ability to resolve member issues with patience and courtesy.

Preferred Qualifications

• Associates degree and 2+ years of work experience.
• Experience processing reward card requests.
• Bilingual skills, such as Spanish, Mandarin, or Cantonese.
• Familiarity with medical terminology and managed care environment.
• Knowledge of CPT and ICD-9 codes.

Compliance & Regulatory

Adhere to the Member Reward Card Program Guidelines, HEDIS/QARR Technical Specifications, and CMS/DOH guidelines.

Additional Information

For inquiries about this posting, please contact support@lensa.com. We are an equal opportunity employer and consider applicants without regard to any protected status.

Key skills/competency

• Reward Verification
• Member Outreach
• Provider Communication
• Data Documentation
• Technical Analysis
• MS Office
• Organizational Skills
• Interpersonal Skills
• Medical Terminology
• Compliance