PRIMARY RESPONSIBILITIES - MANAGED CARE PROGRAMS

• Review patient charts along with Lab, Zwanger, and Cologuard portals to assess HEDIS measure compliance after receiving gaps in care (GIC) reports from the CIN for managed care incentive programs.
• Check IDX if unable to locate patient.
• Work with practice administrators to close gaps by providing patient outreach opportunities.
• Follow up with practice administrators and provide detailed feedback to the CIN.
• Review new patient rosters and notify practices of new patients and patients due for a well care visit.
• Respond to all emails.
• Answer calls to the SBCM concierge line.
• Attend Meetings as necessary

OTHER DUTIES AS NEEDED:

• Assist with running reports and pulling data and for ACO measures through Cerner and HealtheRegistries.
• Run reports for Promoting Interoperability measures and communicate any outstanding issues with the Practice Administrators for improvement
• Review daily UHMC email containing list of SBCM patients seen in the SBUH ED the previous day. Distribute patient information to the appropriate practices.
• Report rapid flu test results to the HCS for all participating practices.
• Other duties as assigned