Field Based Clinical Practice Performance Coordinator - Greenville, NC
Company: Optum
Location: Stantonsburg
Posted on: September 29, 2024
|
|
|
Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data, and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits, and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
This position is full-time (40 hours/week) Monday- Friday.
Employees are required to have flexibility to work any of our 8
hour shift schedules during our normal business hours of
8:00am-5:00pm EST. It may be necessary to commute to provider
offices within the New Bern, NC area about 35% of the time. This
amount of travel is subject to change based on COVID-19 events and
regulation. Our office is located at Greenville NC 835 JOHNS
HOPKINS Dr Greenville NC 27834
We offer 4-8 weeks of paid training. The hours during training will
be 8:00 am to 5:00 pm EST, Monday - Friday.
Primary Responsibilities:
Assist in the review of medical records to highlight Star
opportunities for the medical staff
Activities include data collection, data entry, quality monitoring,
upload of images, and chart collection activities
Locate medical screening results/documentation to ensure quality
measures are followed in the closure of gaps. Will not conduct any
evaluation or interpretation of Clinical data
Track appointments and document information completely and
accurately in all currently supported systems in a timely
manner
Optimize customer satisfaction, positively impact the closing of
gaps in care and productivity
Partner with your leadership team, the practice administrative or
clinical staff to determine the best strategies to support the
practice and our members ensuring that recommended preventative
health screenings are completed and HEDIS gaps in care are
addressed
Interaction with UHC members via telephone to assist and support an
appropriate level of care. This may include making outbound calls
to members and/or providers to assist in scheduling appointments,
closing gaps in care or chart collection activities
Answer inbound calls from members and/or providers regarding
appointments
Communicate scheduling challenges or trends that may negatively
impact quality outcomes
Demonstrate sensitivity to issues and show proactive behavior in
addressing customer needs
Provide ongoing support and education to team members and assist in
removing barriers in care
Manage time effectively to ensure productivity goals are met
Ability to work independently in virtual setting. Ability to
problem solve, use best professional judgment and apply critical
thinking techniques to resolve issues as they arise
Identify and seek out opportunities within one's own work flow to
improve call efficiency
Adhere to corporate requirements related to industry
regulations/responsibilities
Maintain confidentiality and adhere to HIPAA requirements
Data analysis required for multiple system platforms to identify
open quality opportunities to address on a member or provider
level
Appointment coordination for specialist appointments, late to
refill medication outreach and scheduling members for local market
clinic events
Participate within department campaigns to improve overall quality
improvements within measure star ratings or contracts
Field based activities require the abilities to support appropriate
targeted providers
Other duties, as assigned
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. -Required
Qualifications:
High School Diploma / GED
18 years or older
2+ years of telephonic customer service experience
1+ years of -healthcare background with medical terminology and
clinical issues familiarity
1+ years of working experience with ICD- 9/10 and CPT Codes
1+ years of working experience with knowledge of HIPAA compliance
requirements
1+ years of working experience with Microsoft Tools: Microsoft Word
(create and edit correspondence) and Microsoft Outlook (email and
calendar management)
Experience with navigating, filtering and analyzing reports in
Microsoft Excel
Ability to travel up to 75% of the time within the Greenville, NC
area.
Reside within commutable distance of Greenville, NC
Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
Ability to keep all company sensitive documents secure (if
applicable)
Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet service
Ability to work any of our our 8 hour shift schedules during our
normal business hours of 8:00am-5:00pm EST. Monday to Friday
Preferred Qualifications:
1+ year experience as a pharmacy techs
Experience working in a physician, provider, and/or medical office
is preferred.
Medical Assistant
LPN
EMR and HEDIS knowledge and experience
Pharmacy tech license
Soft Skills:
Strong data entry skills, with a typing speed of at least 45-50
WPM
Demonstrated ability to identify with a consumer in order to
understand and align with their needs and realities
Demonstrated ability to perform effective active listening skills
to empathize with the customer in order to develop a trust and
respect
Demonstrated ability to take responsibility and internally driven
to accomplish goals and recognize what needs to be done in order to
achieve goal(s)
Demonstrated ability to turn situations around and go above and
beyond to meet the needs of the customer
Good Attendance Record
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location,
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups, and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity / Affirmative Action employer, and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.
#RPO #RED #RPOLinkedIn
Keywords: Optum, Wilson , Field Based Clinical Practice Performance Coordinator - Greenville, NC, Healthcare , Stantonsburg, North Carolina
|
Click
here to apply!
|
