Analyst, Outreach Coordinator

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Summary

- Schedule for this position is Monday through Friday 8 hours flexible between 7:30 AM to 5:30 PM local standard time.

The Analyst, Outreach Coordinator utilizes several tools to help close care gaps throughout the year. The Analyst, Outreach Coordinator helps facilitate meetings with providers and internal partners to address gaps in care and assists in answering questions regarding all facets of the HEDIS® process, such as how to submit records to Aetna, measure specific questions, where to access information, etc. The Analyst/Outreach Coordinator will be the subject matter expert
regarding HEDIS measures as well as help devise a plan to assist members with getting needed services.

Additional responsibilities to include but not limited to the following:

- Subject Matter Expert in Healthcare Effectiveness Data and Information Set (HEDIS®)
improvement work
- Interacts with providers and/or members to improve healthcare outcomes such as
increased preventive care compliance
- Supports provider engagement
- Active participation in workgroups
- Delivers quality information to internal and external constituents via written and verbal
communication
- Actively seeks opportunities for process improvement resulting in efficient and effective
work streams
- Independently map out provider outreach work plans and execute deliverables
- Supports complex relationships with both internal and external constituents
- Consults with constituents on solutions to business issues including education and
process improvement opportunities
- Support complex provider partners with HEDIS® gaps in care, digital solutions, and
remote medical record collection discussions and education
- Work closely with the provider partner to enhance collaboration between provider and
Aetna
- Provides support for HEDIS® quality initiatives and regulatory/contractual requirements
including outreach to members who are noncompliant in the designated outreach services
- Supports effective medical record capture for HEDIS® medical record review and
abstraction of supplemental data
- Public speaking

Required Qualifications

- 3 years' recent and related health care experience

Preferred Qualifications

- 3 years clinical and/or managed care experience in healthcare or quality management
- Strong communication skills and experience speaking with medical providers and/or
medical office staff
- Ability to work independently
- Ability to use standard corporate software packages and applications
- Recent and related experience working with HEDIS®
- Prior medical office or provider education experience
- Medicare Stars experience or health insurance experience
- Understanding of CPT/CPTII/ICD9/ICD 10 coding experience is a plus

Education

High School Diploma or Equivalent GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/25/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.