Provider Outreach Specialist 100% Remote

Job Title: Provider Outreach SpecialistJob Description The Provider Outreach Specialist supports a dedicated outbound provider call center focused on improving HEDIS medical record retrieval processes. In this role, you proactively contact healthcare provider offices to secure Electronic Medical Record (EMR) access or coordinate record sharing in advance of HEDIS abstraction. By streamlining chart collection and improving overall project efficiency, you help ensure earlier completion of data collection and support enhanced quality review and HEDIS performance.

Responsibilities

• Conduct high-volume outbound calls to provider offices using an automated dialing system to request access to EMR systems or coordinate medical record-sharing processes for HEDIS review.
• Build and maintain professional rapport with provider office staff to streamline the exchange of medical records and encourage timely responses.
• Accurately document all outreach efforts, provider feedback, and call outcomes within internal systems and tracking tools.
• Coordinate closely with internal HEDIS and abstraction teams to ensure required medical records are obtained ahead of project deadlines.
• Track, prioritize, and manage assigned provider lists to ensure all outreach activities are completed efficiently and within established timelines.
• Identify barriers to medical record access, escalate issues appropriately, and work collaboratively with internal stakeholders to resolve obstacles.
• Maintain strict compliance with HIPAA and organizational guidelines when handling sensitive patient information and medical data.
• Support quality improvement efforts by contributing to accurate and timely medical record retrieval for chart review and audit activities.

Essential Skills

• Demonstrated experience performing medical records retrieval or pre-HEDIS chart chase.
• Outbound call experience with strong customer service and oral communication skills.
• Previous experience working directly with physician or clinic staff (strongly preferred).
• Knowledge of medical records and health information management (HIM) practices.
• Familiarity with medical terminology and medical documentation.
• Understanding of HEDIS processes, quality improvement, chart review, and audit activities.
• Ability to work with Medicare-related data and quality initiatives.
• Proficiency in documenting data accurately in internal systems during and after calls.

Additional Skills & Qualifications

• Medical Assistant Certificate in Florida OR Licensed Practical Nurse (LPN) in Florida.
• Associate's degree or higher.
• Comfort working in a high-volume outbound call environment.
• Ability to build rapport quickly with provider offices and clinical staff.
• Strong attention to detail when tracking outreach efforts and managing provider lists.
• Ability to follow standardized processes while adapting communication style to different provider office environments.

Work Environment

This is a 100% remote position with equipment provided. You work as part of a dedicated outbound call center team using an automated dialing system and internal electronic systems to document outreach and manage provider lists. The environment is fast-paced and goal-oriented, with a strong focus on meeting HEDIS timelines, adhering to HIPAA and organizational privacy standards, and supporting collaborative work with internal HEDIS and abstraction teams. Job Type & Location This is a Contract position based out of Saint Louis, MO. Pay and Benefits The pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jun 10, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] for other accommodation options. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Apply To This Job