Outreach Coordinator (western Kentucky) Job Openings in - Aetna Recruitment 2018

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. Coordinates member outreach to ensure effective use of health plan benefits and to improve member health outcomes within the Medicaid or Medicare population. Responds to member inquiries in person, via telephone, and in writing. Facilitates provider and member outreach to ensure member receipt of important clinical services to improve member health outcomes. Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements.
  • This position requires local travel in Western Kentucky.*

  • This position covers 20+ counties in Western Kentucky. The counties for Region 1 are as follows: Ballard, Caldwell, Calloway, Carlisle, Crittenden, Fulton, Graves, Hickman, Livingston, Lyon, and McCracken. The counties for Region 2 are as follows: Christian, Daviess, Hancock, Henderson, Hopkins, McLean, Muhlenberg, Ohio, Todd, Trigg, Union, and Webster.*

Fundamental Components:
  • Identifies potential resources and initiates collaboration with community centers, mental health centers, faith/ethnic-based social service organizations, and school organizations to improve member health outcomes and HEDIS measures.
  • Distributes educational information to members by most appropriate method (mailings, social media, automated calls, etc.) to help them utilize benefits more effectively.
  • Develops educational/outreach materials including, but not limited to, incentive documents, call scripts, event flyers, social media text, etc.
  • Identifies opportunities to partner with community organizations on special events and presentations (i.e., health fairs and community events) to heighten awareness of Aetna's name; works with internal staff to schedule, organize, and staff these events.
  • Documents complaints and grievances from members and refers them to the appropriate department for timely resolution.
  • Identifies potential resources and initiates collaboration with providers to improve member health outcomes and HEDIS measures.
  • 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.
  • Performs other related duties as required.


  • Minimum of three years recent and related outreach experience working with providers or members, and/or government program managed care product experience
  • Customer Service experiences in a transaction based environment such as a call center or retail location preferred
  • Experience with Microsoft Office products (Word, Excel, Project, PowerPoint, Outlook)

The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
Technical - Computer Operations//1-3 Years/End User
Telework Specifications:
Telework is a requirement for this position; no physical work location.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

As one of the leading company in USA, Aetna opens a variety of opportunities for employees to grow and make them as future leaders of the professional and disciplined. Aetna also offers a dynamic work environment in order to encourage employees to contribute optimally, and at the same time is able to learn new skills and knowledge through the company program.

If you are interested and qualified to follow the job recruitment, you have to prepare yourself and send your application letter immediately. Only candidates who meet the criteria for Outreach Coordinator (western Kentucky) in , who will be called to attend interview. If you still do not satisfy with our job recruitment information above, you can try to read other job recruitment information that we provide in our website which still located in region from any other company. You can also try to find other job recruitment information for Outreach Coordinator (western Kentucky) di below.

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Job Title: Outreach Coordinator (western Kentucky) Location: Company: Aetna Date Posted: 30+ days ago

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