Upon approval, this action will result in an annual cost of approximately $222,262, including pension costs of $45,691, and will be offset by the elimination of a contract with Med Assurant as well as the elimination of a County temporary employee in the class of Health Services Administrator - B.  
  
  
  
  
  

Both of these positions will be assigned to the Quality Management unit of the Health Plan. The Health Services Administrator B position will be responsible for coordinating activities related to annual Healthcare Effectiveness Data and Information Set (HEDIS) data gathering, submission and analysis, determining resource needs, scheduling and tracking office and clinic visits for HEDIS chart review, auditing data for accuracy, performing data analysis, and seeking process improvement opportunities. The Medical Social Worker I position will be responsible for performing members health care needs evaluations and facilitating patient progress through the health care system, performing chart review in support of quality improvement initiatives, developing materials to support quality improvement interventions, and surveying members and providers in support of quality improvement initiatives.

If this action is not approved, services may be adversely affected.