Regularly perform intakes, diagnostic evaluations, prepare and monitor treatment planning while engaging in appropriate client therapy practices and following guidance provided by one's supervisor Form effective therapeutic alliances, supporting each client's unique needs and goals, with the result in positively impacting client outcomes and retention Demonstrate advanced

Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre registration of patients Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc Verify insurance eligibility and completes automated insurance eligibility verificatio

Perform Skilled Nursing Facility (SNF) clinical documentation reviews on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Complete SNF concurrent reviews from a team queue, updating authorizations on a timely basis Collaborate effectively with the members' health care teams to establish an optimal d

Greets and welcomes patient in person Collects demographic and insurance information Checks in and interviews patient to complete appropriate paperwork Documents any issues and resolutions in electronic medical record Resolve claim issues or registration errors on patient accounts Uses resources, tools and procedure to complete registration for complex accounts Verifies e

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Familiarity with SMF/RMF record structures Ability to work with SAS programming and statistical data Utilize knowledge of large scale operational and system concepts Develop and maintain system performance reporting using MXG, SAS, and Splunk Monitor daily system health for areas of improvement and exceptions Deliver recommendations for enhancing performance Perform probl

Work with the StepWise software to configure rating algorithms, factor tables, and proposal outputs Work with the StepWise software to configure user experiences (including health plan sales and underwriting users) Work with the StepWise software to create business process / workflow automation Use Excel and SQL based systems to solve clients' business problems Present so

Regularly perform intakes, diagnostic evaluations, prepare and monitor treatment planning while engaging in appropriate client therapy practices and following guidance provided by one's supervisor Form effective therapeutic alliances, supporting each client's unique needs and goals, with the result in positively impacting client outcomes and retention Demonstrate advanced

Design, code, test, document, and maintain high quality and scalable Big Data, Cloud solutions Design and architect data solutions to suit client product needs. Develop and implement analytic solutions Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable data pipelines Identify gaps and opportunities for improvement on existing solutions

Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable Big Data platform Identify gaps and opportunities for improvement of existing solutions Define and develop APIs for integration with various data sources in the enterprise Analyze and define customer requirements Assist in defining

Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperwork Directs patient to their appointment or procedure May assist in scheduling add on appointments Verifies eligibility and benefits information for payers and interprets results Obtains signatures from patients as needed Colle

Codes medical records using coding classifications to ensure data integrity and proper assignment of codes based on coding guidelines. Ensures accurate record documentation to support correct code assignment, reimbursement, precise reporting of services rendered, and compliance with government regulations. If you reside in the state of Minnesota or Wisconsin, you'll enjoy

Drive Product Strategy & Product Execution for MPPs Owns the What/Why of all products/services within MPPs specifically Owns definition of "MPP Product Ecosystem" Sets direction, vision, and strategy for selected products infused into MPPs Alignment with broader Optum, including our Client Relationship Executives and Solution Design team for defined "MPP Product Ecosystem

Responsible for the overall direction, coordination, implementation, execution and completion of IE and other related programs ensuring consistency with company values, strategy, goals, timeline, and budget Excellent client and delivery risk and issue management capabilities Management of customer relationships and contracts Develops solid intra company relationships by p

Regularly perform intakes, diagnostic evaluations, prepare and monitor treatment planning while engaging in appropriate client therapy practices and following guidance provided by one's supervisor Form effective therapeutic alliances, supporting each client's unique needs and goals, with the result in positively impacting client outcomes and retention Demonstrate advanced