We are looking for an Outreach Representative, to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. 

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.  As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members.  Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org.

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.  Learn more about MDwise, Inc. at https://www.mdwise.org/.

Position Summary:
Responsible for delivering, strategizing, and improving quality with a focus on primary health care gaps. The position will educate and network with people of all backgrounds and cultures on products and programs to retain membership in the Plan. Establishes and maintains relationships for the promotion of healthy lifestyles among membership. Tracks and trends HEDIS rates as needed or required. Responsible for member contacts and positive outcomes. Foster the Plan’s presence in the community by interacting with members, departments within the Plan, and outside agencies as assigned.

This position is hybrid with requirements to come onsite as directed by the leader, Indianapolis, IN.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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Qualifications:
Required:

• High School Diploma or equivalent educational certification.
• Two (2) years’ experience in a customer service-related position.
• Valid state driver’s license, reliable transportation and automobile insurance required and maintained throughout employment.

Preferred:

• Associate degree in health care administration, communication, marketing, or related field.
• One (1) year experience in a community-focused outreach position.
• NCQA experience specific to HEDIS measurement.
• In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.

 

Additional Information Schedule: Full-time Requisition ID: 25004190 Daily Work Times: 8:30 am - 5:00 pm Hours Per Pay Period: 80 On Call: No Weekends: No