[Hiring] Data Retrieval Specialist @Inland Empire Health Plan

Role Description

This is a short-term assignment.

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Manager, Data Quality, the Data Retrieval Specialist is responsible for providing technical, administrative, and clerical support for the year-round efforts to collect medical records for key quality projects (i.e., HEDIS, Risk Adjustment, DHCS special projects, ad hoc activities).

• Responsible for supporting departmental activities including collaboration with IEHP Providers for collection of medical records, data management, research, data entry, quality control, report generation and analysis, and adherence to established departmental workflows.
• Exercises independent judgment to ensure appropriate escalation protocols when trends or deficiencies are identified.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Key Responsibilities

• Manage the scheduling, retrieval, tracking, monitoring and quality assurance of data collection requirements from physicians for audits and internal processes supporting all HEDIS, Risk Adjustment and Quality activities.
• Technical aptitude to navigate various Electronic Medical Records (EMR) systems in order to skillfully extract needed data per specified project needs.
• Establish relationships with IEHP Providers and staff to foster ongoing collaboration for data collection efforts.
• Serve as Team Lead to support all aspects of HEDIS Chart Collection, including planning, preparation, hands-on training, and ongoing project support for the HEDIS Task Force, HEDIS equipment testing, Provider outreach, collection of assigned charts, quality assurance and follow-up chart pursuit efforts.
• Perform research, data entry and quality control on key data sources following prescribed guidelines/protocols in support of IEHP’s regulatory reporting requirements including: HEDIS, Risk Adjustment and Quality activities.
• Perform a broad range of administrative duties using initiative and judgment in handling confidential and time sensitive information.
• Provide backup support for Quality Systems Coordinators, assisting with IEHP’s supplement data efforts including data collection, data entry, research, quality assurance and reporting.

Qualifications

• Three or more (3+) years of administrative experience in an office environment, including use of Microsoft Office Suite.
• One (1) year of experience in healthcare data collection from various Electronic Medical Record systems.
• Demonstrate superior interpersonal and administrative skills commensurate with years of experience.
• Experience as an EMR technician preferred.
• High school diploma or GED required.
• Associate's degree from an accredited institution preferred.
• Health Information Management (HIM) certification, preferred.

Key Qualifications

• Must have a valid California Driver’s license and valid automobile insurance.
• Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.
• Understanding of and sensitivity to multi-cultural community.
• Organizational skills.
• Strong written and verbal communication skills. Interpersonal skills.
• Proficient in Microsoft Word and Excel, experienced in data entry, and strong attention to detail are essential.
• Ability to manage multiple tasks to coordinate, prepare and monitor projects and reports.
• Ability to prioritize work to ensure adherence to project deadlines.
• Excellent customer service and telephone courtesy.
• Positive attitude.
• Ability to work in a team setting.
• The employee must occasionally lift or move up to 25 pounds.
• Frequent travel to Provider offices for data retrieval within San Bernardino and Riverside Counties.

Benefits

• Competitive salary.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options.
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare.
• CalPERS retirement.
• 457(b) option with a contribution match.
• Paid life insurance for employees.
• Pet care insurance.