Outreach Specialist (000449)

Company: Apidel Technologies
Location: New York City
Posted on: February 17, 2026

Job Description:

Job Description Job Description Purpose of Position: The primary function of the Quality Management Outreach Specialist is to provide support for internal and external requirements related to improving Metro Plus Health Plans quality performance in its programs. This includes supporting processes related to collecting, maintaining and compiling data received for incorporation into Plan reporting. The position serves as a Quality Management member liaison, working to address members needs. The primary focus is outreaching to members to administer a Health Risk Assessment (HRA) and subsequently responding to identified needs, data entry of assessments, maintenance of tracking process and reports, and implementation of treatment plans by linking member to appropriate clinical and social services. This position will support additional ad-hoc outreach efforts to both members and providers to assist with connecting members to clinical services. Scope of Role & Responsibilities: Administer Health Risk Assessment to members as needed. Handle requests for care coordination, assessing the request, the members needs, and facilitating appropriate interventions and follow up. Maintain accurate and complete documentation of required information in compliance with risk management and regulatory requirements. Assist member with basic benefit information. Assist members with appointments for specialists, educational classes, and transportation. Perform data entry of medical information; maintain tracking process and reports. Assist Quality Management personnel to coordinate members appointments, equipment, social services, and home health needs. Participate in team meetings. Attend Metro Plus events whenever required. Promote communication with the Care Management team and other internal departments to ensure members receive needed services and to foster member satisfaction. Alert the appropriate Team Lead when members share clinical issues that need to be addressed. Comply with all orientation requirements, annual and other mandatory training, organizational and departmental policies and procedures and actively participate in the evaluation process. Share observations and provide feedback regarding workflow to ensure continuous quality improvement. Maintain professional competences as a Quality Management Outreach Specialist. Perform other duties as assigned This is the pay range that Right Sourcing reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Skills: One year of managed care experience preferably in Care Coordination Experience working with the health needs of the population served. Experience as a Medical assistant or Licensed Vocational Nurse is a plus. One or more years of experience in the medical field. Managed Care Experience a plus. Strong customer service skills to coordinate service delivery including attention to members/caregivers, sensitivity to concerns, proactive identification and rapid resolution of issues to promote positive outcomes for members. Demonstrated ability to communicate effectively, problem solve and work effectively with people. Bilingual candidates who are fluent in Spanish, Haitian Creole and/or Russian are strongly preferred. Working knowledge of medical terminology and abbreviations. Proficiency with computers navigating in multiple systems and web-based applications. Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive. Good interpersonal skills/team skills Understanding and appreciation for confidentiality Ability to work in a fast-paced environment Excellent time management and organizational skills Ability to prioritize and manage changing priorities under pressure Must know how to use Microsoft Office applications including Word, Excel, and Outlook. Professional Competencies: Integrity and Trust Customer Focus Functional/Technical/Analytical Skills Teamwork Written/Oral Communications Education: High school diploma or GED required Bachelors Degree preferred Schedule Notes: Metro Plus Medicare Sales Representative Position Type: Field-Based (Hours may vary based on business needs) License Requirement: New York State Accident & Health Insurance Broker License (NYS Life Insurance License also required) Expenses: No reimbursable expenses Overview Licensed New York State Health Brokers supporting Medicare Open Enrollment through in-person outreach and member engagement across the five boroughs. Representatives play a key role in promoting Metro Plus Healths Medicare plans and assisting prospective members with the enrollment process. Scope of Work Conduct field-based outreach and enrollment activities at community events, hospitals, senior centers, and other designated sites. Educate and engage prospective members on Metro Plus Healths Medicare offerings. Support Medicare enrollment initiatives and ensure compliance with all applicable guidelines. Provide coverage and support across all boroughs as needed. Travel to assigned locations and events as required. Open Enrollment Period Currently active. Assignments expected to continue through March. Extensions will follow standard approval and extension processes. Experience & Skills Minimum: 2 years of managed care or related healthcare experience. Strong communication and customer service skills with the ability to engage diverse communities. Bilingual candidates preferred: Spanish, Haitian Creole, or Russian. Must be comfortable working independently in the field and representing Metro Plus Health professionally.

Keywords: Apidel Technologies, New Haven , Outreach Specialist (000449), Healthcare , New York City, Connecticut