Sentara Health Plans is currently hiring a HEDIS Quality Coordinator/Administrative Assistant​!

Status: Full time position (40 hours)

Standard working hours: Dayshift, 7:30am to 4pm EST.

Location: Applicants must live in Virginia. Need to go as needed (approx. 1 a year).

Required Qualifications

• High School Grad or Equivalent

• One-year customer service experience required

Preferred Qualifications

• Experience with Medical Records Preferred

• One-year experience in a member and/or provider engagement role preferred

• Medicare/Medicaid/Commercial experience/knowledge highly preferred

Special skills and/or knowledge:

• Analytical skills – proficient using Microsoft Office including Microsoft Excel

• Openly and actively communicates information and takes initiative to communicate extensively

• Ability to handle difficult situations diplomatically

• Effective interpersonal skills, collaboration, and listening skills

• Ability to build strong relationships within and outside the health plan

• Negotiation skills

Primary responsibilities include:

• Providing "best in class" service and is the first point of contact, ambassador and concierge for assigned region/membership

• Utilizes skills to retain members in the assigned provider practices and supports new membership after the initial enrollment period

• Coordinates in office wellness events as a result of interventions management to improve gap closures in the field

• Coordinates with Health Education and contacts members telephonically to schedule them for appointments

• Participates in the Member Advisory and Provider Advisory Meetings as needed

• Maintains superior member/provider relationships and ensures the highest quality of care coordination.

Benefits: Sentara offers an attractive array of full-time benefits to include

Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.