Website:
voxyhealth.ai
Job details:
Location: India (from Chennai) · Shift: US hours (night shift IST)
About the role
You will coordinate directly with US provider offices and retail pharmacies to close open quality care gaps. This is an outcome-owned role: every day you are chasing evidence — a lab result, an eye exam report, a fill date — and getting it into the system so a gap can be marked closed.
What you'll do
- Coordinate with US healthcare offices to obtain missing clinical evidence: A1c and BP values, diabetic retinal eye exam results, mammogram and colonoscopy reports, and other HEDIS/Stars measure documentation
- Coordinate with retail and mail-order pharmacies to verify last fill date, days supply, and refill status for adherence measures (diabetes, hypertension, statins) and drive refill conversions
- Review returned charts and records, abstract the qualifying evidence, and determine whether a gap is compliant, non-compliant, or requires exclusion
- Update outcomes accurately into the client's population health platform or EMR and maintain a clean daily disposition log
- Coordinate appointment scheduling with practice staff where a gap requires an in-office visit
- Track and report daily outreach volume, contact rate, evidence obtained, and gaps closed
Required
- 2+ years in a US healthcare outreach or coordination process — HEDIS abstraction or record retrieval, prior authorization, AR follow-up, or provider engagement
- Clear spoken English and strong verbal communication
- Working knowledge of US healthcare terminology: payers, IPA's, NPI, EMR/EHR, faxback, ROI, POS
- Able to read a clinical chart and identify a date, value, and provider
- Willing to work US business hours from India, full time
Preferred
- Direct HEDIS/Stars gap closure experience or NCQA HEDIS season work
- B.Pharm, Pharm.D, BDS, BHMS, BAMS or BSc Nursing background
- Experience with population health or quality platforms (Innovaccer, Arcadia, Reveleer, Inovalon, Athena, eCW)
Click on Apply to know more.