Ability to manage a compliance program with an understanding of complex or dual products Engages in high risk/complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products Collaborate with a team that conducts product specific legal research and monitors changes to requirements to mitigate risks and achieve compl

Interface with senior leaders (e.g., CEO) at high volume facilities/groups or directly with providers as indicated. Communicate with facilities/groups/providers to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with Practice Management IOP Program targets. Support those high performing facilities and providers such that performa

Design, create and implement quality improvement projects and initiatives Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending and presenting information for quality management planning and management needs Develop and present recommendations and alternatives for management and executive review Assist in developing department strategic action

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol

Greet patients as they arrive and manage wait time Assist patients with intake processes including copying required documents Collect co payments, co insurance and deductibles and issues receipts Manage cashier box and daily deposits according to company policies Process walk in patients and visitors Answer phones and schedule appointments Manage medical records (maintains, files/scans, prepares f

Ability to manage a compliance program with an understanding of complex or dual products Engages in high risk/complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products Collaborate with a team that conducts product specific legal research and monitors changes to requirements to mitigate risks and achieve compl

Prepare examination rooms and sterilizing equipment Room patients, obtain health history, check vital signs and perform EKG’s Administer injections and collect specimens Document patient care using NextGen electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork Assist physicians

Educate providers to ensure that they have the tools they need to meet quality, risk adjustment, growth (as appropriate), and total medical cost goals per business development plans facilitated through strategic meetings. Ensure providers have in depth understanding of OptumCare model to include, but not limited to, patient care best practices, contractual obligations and program incentives. Cond

Ability to identify operational challenges and/or opportunities by analyzing the available data and develop and execute plans to fix problems and take advantage of new business opportunities Manage with persistence and is driven by big challenges and has the ability to drive strategies to scale operations quickly / as needed High level attention to detail, ability to multitask, highly organized Ex

Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process. Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insuran

Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process. Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insuran

Provide exceptional customer service to all patients and members of the clinic staff Fill new prescriptions and refills of medications using various forms of compliance packaging. Medication ordering and maintenance of appropriate inventory controls within the pharmacy. Within the guidelines of the authorized protocol, manage the storage and designation of sample medications, and patient assistanc

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol

Lead Labor Administration Collaborate with Finance on workforce administration Reconciliation of labor / payroll records T&E Management and reporting Lead a team of accountants Develop, implement and maintain processes and procedures for accurate and timely analysis of financial data, ensuring best practices Develop and maintain internal control structure and procedures for time and expense r

Process and fill prescription orders in preparation for pharmacist verification Some packing and shipping of completed prescription orders to patients Maintain drug inventory and automated dispensing units Replenish work station supplies for filling prescriptions as needed (includes vials, caps, labels, etc.) This role is equally challenging and rewarding. You’ll need to work within multipl