Patient Care Advocate (HEDIS)

Pyramid specializes in Talent, Technology and Transformation Pyramid Consulting, Inc. provides Staffing and Technology Solution services to enterprise customers. Headquartered in Atlanta, GA with offices across the United States, Canada, Europe and India, we serve companies ranging from innovative startups to Fortune 500 and 1000 companies. Pyramid is the career partner-for-life for top talent. Through successive engagements, we help them develop the best path to achieve their career goals. We place top talent through our four divisions: Technology Staffing, Professionals, Healthcare and Search and Placement. Our flexible staffing options include contract, contract-to-hire, direct hire and SOW/Statement of Work.

Immediate need for a talented Patient Care Advocate (HEDIS). This is a 06+months contract opportunity with long-term potential and is located in Roseburg, OR (Remote). Please review the job description below and contact me ASAP if you are interested.

Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information.