HEDIS Outreach Coordinator

SGS_JOB_2382

Admin/Clerical
Remote
HEDIS
Customer Service
Call Center
Inbound/ Outbound
medical record
Healthcare Data

Contract - Contract (mandatory): 06+ Months

Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services

Job Responsibilities:

  • Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.
  • Performs provider/location research, clean up, and data updates to ensure that medical record requests are submitted to the right location and PHI is properly handled
  • Conducts HEDIS provider chart request calls, faxes, and mailings.
  • Identifies potential resources and initiates collaboration with providers to improve member health outcomes and HEDIS measure rates
  • Facilitates provider and member outreach to ensure member receipt of important clinical services to improve member health outcomes and close gaps in care.
  • Identifies when to refer member to Social Worker or Case Manager.
  • Assists in the development and standardization of outreach documentation and manages the data flow process to complete HEDIS documentation.
  • Documents member participation in outreach activities in accordance with abstraction and audit standards.
  • Records and documents all members and provide outreach activity.

Skills:

  • Minimum 1 year, recent HEDIS project support-related experience
  • Strong communication skills and experience speaking with medical providers.
  • Ability to use standard corporate software packages and corporate applications.
  • Computer skills: Microsoft Word, Excel, Outlook, Teams, Adobe Reader, RightFax
  • Recent and related experience working in health care marketing, member outreach and/or health education experience.
  • Experience working in call center environment

Education/Experience:

  • Associate degree or equivalent experience

Related Jobs

Sales Co-worker

Admin/Clerical
 Florida
1 month with possibility of extension

Location: Tampa FL USA 33605 This is a Market Hall Merchandising & Maintenance role. Look for candidates from high-volume retail like Target, Walmart, CVS, and Dollar General. Hands-on operational experience—specifically merchandising, pallet condensation, cardboard removal, and floor recovery. Able to lift 50lbs.

Hands-on operational
Specifically Merchandising
Pallet Condensation
Cardboard Removal
and Floor Recovery.

Data Entry Clerk: II

Admin/Clerical
 California
$21.00 - $26.00
1+ years(Possibility of Contract-to-Hire)

Location : Pine Valley, CA 91962 Inputs information from a variety of sources into a database. Must meet standards for production volume, accuracy, and completeness. Requires strong attention to detail, excellent organizational skills, and effective communication abilities. Ability to work efficiently in a fast-paced, time-sensitive environment while maintaining accuracy and confidentiality. Supports data management, records maintenance, and administrative functions to ensure compliance with organizational requirements. Background/Need: The team is seeking a Data Entry Clerk to support daily administrative operations through accurate data entry, record keeping, and document retention activities. The role involves entering employee hours worked into the MyTime timekeeping system, maintaining Department of Transportation documentation, and performing various clerical tasks as assigned. This position offers the potential for conversion to a full-time employee role based on business needs and budget availability.

Data Entry
Database Management
Organization

Retail Sales Co-worker

Admin/Clerical
Alberta
03 month

Location - Calgary, AB, Canada Looking for customer support from retrial background. Someone can assist customers and provide advice on the best solutions for their homes. Acting as an expert and consultant on a broad range of home furnishing solutions, products and services to inspire and inform customers.

Customer Service
Retail Sales

Project Coordinator I

Admin/Clerical
 California
$33 per hour on W2
1+ Years (Role is currently slated for one year and may renew for an additional year. FTE conversion is possible after two years subject to budget, but not guaranteed)

Location: San Diego, CA 92123 Day to day includes working with various groups within team to get them scheduled with the pre-construction department, coordinating and issuing jobs within SAP, interpreting construction sketches, reading electrical metering. This role will work heavily in SAP and Nexus. They may be answering phone calls from customers, project managers, or planners from the pre-construction side of the house. They will also be working with stakeholders to ensure jobs are getting scheduled. This person will need to be dynamic, a self-starter, and someone who can troubleshoot and problem solve. Some Notes on the Role: • This role is currently slated for one year and may renew again for an additional year after that time. If there is budget available after two years, they will try to convert this person FTE, but it's not guaranteed. • This role is 5 days a week onsite at San Diego, CA.

SAP
Microsoft Excel
Nexus system usage

Environmental Queue Coordinator

Admin/Clerical
 California
$41–$44
2+ years (strong possibility of conversion depending on budget)

Location: San Diego, CA 92123 Coordinates and manages environmental project review workflows through enterprise tracking systems. Serves as an administrator for environmental workflow management tools and ensures projects are accurately entered, routed, tracked, and completed within established timelines. Monitors workflow metrics, performs quality assurance and quality control checks, maintains system data integrity, and supports reporting needs. Collaborates with internal and external stakeholders to ensure environmental review processes are completed efficiently. Provides training and support for workflow systems and maintains associated training documentation and materials. Background/Need: The team requires an Environmental Queue Coordinator to support a high-volume environmental project review process. This role will be responsible for coordinating project intake, routing, tracking, reporting, training, and system administration activities while ensuring data accuracy and timely completion of environmental reviews. The position plays a key role in supporting environmental compliance and operational objectives through effective workflow management.

Data Tracking and Reporting
Quality Assurance and Quality Control (QA/QC)

Campus Recruiter

Admin/Clerical
 Illinois
40
12 Months

Location : Remote (IL) The Campus Recruiter is responsible for managing university recruitment activities, building relationships with colleges and universities, and hiring top intern talent for both technical and non-technical roles. This role involves coordinating campus events, maintaining strong university partnerships, and supporting the company’s early talent hiring strategy. The position is remote with significant travel during peak recruiting seasons.

Campus
University

Facilities - Space Planning Assistant

Admin/Clerical
 California
30-40
04 Months

Location (mandatory): El Segundo CA USA 90245 We’re looking for a proactive and detail-oriented Facilities – Planning Assistant to join our Facilities team at the El Segundo Campus. This is an exciting opportunity for someone who enjoys space planning, problem-solving, and coordinating behind-the-scenes operations that help keep a dynamic Campus running smoothly. If you’re passionate about workplace design, like working on a variety of projects, and enjoy a collaborative environment, we’d love to hear from you!

Occupancy/Workplace planning
Work order management
CAFM

Mortgage Processor

Admin/Clerical
 Texas
3 Months

Location : Fort Worth TX USA 76155 Responsible for providing cross functional support in the Mortgage Servicing department at Credit Union

Technical Support
Active directory.

DEPARTMENT SUPPORT SPECIALIST I

Admin/Clerical
 Idaho
6 Months

Location : Boise Idaho (Remote) The Document Support Specialist is responsible for supporting the Data Services Department by managing utility invoice downloads, data capture, bill verification, and vendor communication. This remote role focuses on collecting and processing utility billing information, resolving missing data issues, and maintaining accurate records through internal platforms.

Customer
logistics
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


© 2026 All rights reserved.
logologologologo