Anticipated End Date:

2024-09-21

Position Title:

Early and Periodic Screening, Diagnostic, and Treatment Coordinator – EPSDT Coordinator

Job Description:

Early and Periodic Screening, Diagnostic, and Treatment Coordinator

Location: 1010 SW Tyler St, Topeka, KS 66612

This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days physically in office per week.

Our ideal candidate will live within a reasonable proximity to our Elevance Health major office (PulsePoint) located in Topeka, KS or Olathe, KS. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.

The Early and Periodic Screening, Diagnostic, and Treatment Coordinator is responsible for all KAN Be Healthy services and related issues, including but not limited to, all KAN Be Healthy activities and EPSDT screening events. Serving as a liaison with and overseeing the quality improvement activities, projects, and programs.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Interfaces and coordinates with the foster care coordinator, director of Care Coordination, oral health director, the Member advocates, and other internal staff to ensure the delivery of all preventive screenings and to ensure delivery of appropriate treatment and follow up based on identified diagnoses.

• Leads state level quality strategy meetings for the KAN Be Healthy population, develops a quality plan, and ensures integration of quality into the overall strategy for the KAN Be Healthy population.

• Works with the clinical intervention team to design studies to identify barriers to medical interventions.

• Oversees EPSDT reporting requirements and data analysis to drive strategy.

• Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members.

• Assures compliance with all contract EPSDT requirements and deliverables

• Assures that all QI activities are relevant to the needs of the KAN Be Healthy population.

• Provides oversight to ensure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.

• Develops and leads implementation strategies based on data analysis to optimize clinical interventions and improve EPSDT and HEDIS rates with a focus on well child and immunizations.

• Oversees the implementation of new initiatives.

• Leads interactions with regulators or oversight entities.

• Works collaboratively with other departments and senior leadership.

Minimum Requirements:

• Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

• Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. Nursing) is preferred.

• Managed Care Experience.

• Experience with data analysis.

• Strong Excel Skills.

• Strong verbal and written communication skills.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

QLT > Clinical Quality

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.