Health Services Specialist, Geisinger Health Plan (Work from Home Pennsylvania resident)
Location: Danville, Pennsylvania
Type: Full Time
Internal Number: R-26965
The successful candidates will focus on HEDIS data and reporting, and quality improvement initiatives.This position is primarily responsible for the design, implementation, and oversight of health services initiatives and strategies to benefit clients, members, and the communities we serve. Assigned duties are implemented in a manner appropriate to the segment of the business being targeted.
Schedules and conducts calls with internal and external stakeholders, provides ongoing consultation, creates customized work plans, conducts health information sessions, and facilitates screenings as applicable.
Develops relationships and follows up on new and existing partnerships to increase use of health services to improve the health of each population.
Meets frequently with stakeholders to determine the need for various health products and services.
Prepares and delivers presentations to decision makers, partner organizations, regulators, and other stakeholders.
Communicates changes in services, activities, measures, rates, and other information related to health services as applicable
Works closely with both external and internal departments to determine population-specific health products recommendations based on historical, current and projected data.
Oversees all community, group and/or program activity as applicable.
Maintains and updates databases, tracking volume of activity and detailing services provided and outcomes to share with specific stakeholders and leadership.
Develops, builds and maintains relationships with community-based organizations, community resources, commercial resources, and/or supplemental vendors and others.
Collaborates with other departments and other stakeholders to form strategies and proposals, and to determine areas of emphasis and concern.
Works closely with internal/external teams, and/or consultants when providing programming externally.
Tracks volume of active services and analyzes program results.
Identifies and investigates emerging new opportunities within the health promotion, well-being, whole person health and quality improvement fields.
Partners with leadership in the design, development and testing of select new health services products and initiatives.
Implements business plans, creatively solving product design, financial, marketing or administrative problems.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Experience with HEDIS, Stars, and NCQA preferred
Bachelor's Degree-Related Field of Study (Required)
Minimum of 2 years-Related work experience (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.