Health Services Coordinator I Job 2024 Full Time

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.

We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.

What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.

What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/

How YOU will make a Difference:

The Health Services Coordinator demonstrates skill in core community health work including planning, implementation, coordination and steerage, working closely with the RN overseeing the case.

The Health Services Coordinator provides ongoing personalized support and care coordination for complex, catastrophic or ongoing chronic medical conditions, evaluating services requested to meet an individual’s health care needs, with the goal to provide personalized management to promote and ensure continuity of care coordination. This includes drug cost and site of care oversight to maximize health and function while promoting quality and cost-effective outcomes.

What YOU will do:

• Analyze data, create work queues (PowerBI, K2, CaseTrakker, Excel)
• Calculate cost/revenue and enter data into technology programs
• Work across departments and with external partners to coordinate care
• Document care plans in systems
• Escalate barriers to positive member experience
• Collaborate with members, providers, and care teams to transition care and support ongoing member care needs
• Analyze claims, clinical, and financial data for case identification and decision-making
• Work independently to evaluate and assess cost-containment opportunities
• Collaborate with RN to evaluate and assess clinically appropriate options for steerage
• Complete test claims utilizing Facets for steerage evaluations

Knowledge, Experience, and Key Attributes needed for Success:

• Minimum of Associates degree or equivalent experience required
• 3 years minimum health plan, clinical or community health experience
• Problem solving and critical thinking skills
• Excellent, client-facing verbal and written communication skills
• Proficiency with Microsoft Office applications (Outlook, Word, DOSS)
• Ability to be self-motivated and self-directed
• Enjoys the pace and rhythm of a deadline-oriented environment with strong prioritization skill sets
• Ability to communicate complex ideas
• Ability to interpret reporting and set a plan of action