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Draft, review and negotiate terms of agreements with Suppliers to optimize outcomes, drive risk mitigation and ensure compliance with internal and regulatory protocols Understand stakeholders' needs and facilitate the negotiation of requirements among multiple stakeholders Analyze current market trends, forecast future performance, identify value creating or cost savings opportunities and make pro
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Provides leadership to 15 20 prepay coding consultant investigators and is accountable for tracking KPI's, metrics, OT, TAT etc., provides feedback to staff on performance, sets direction, resolves problems, provides guidance to team members when needed and takes necessary steps to address poor performance including corrective action up to termination Create, implement and improve operational chan
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Create a positive experience and relationship with the member Help member set goals and develop a care plan to achieve those goals Proactively engage the member to manage their own health and healthcare Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician As needed, help the member engage with mental health and substance
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Prepare contracts including drafting of amendments, amendments, MSA's, SOW's; negotiate and execute contract terms and conditions (leveraging UnitedHealth Group's contract terms and internal subject matter experts, with an accountability to terms, risk mitigation/compliance. Draft, review and negotiate terms of agreements with business and supplier to ensure compliance with legal and regulatory p
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Complete intake calls to welcome members to the program Initiate care plans and enter in all relative information from the issues at hand to interventions Promote adherence to care plan, developed in coordination with the member, primary care provider as well as other treating providers Assess members unmet needs, coordinate services and treatment needs Identify early risk factors and conduct ongo
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include Suturing Splinting Initial interpretation with digital X Rays Incisions and drainage What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family. We focus on helping patients get in, get healthy, and get back to what's really important. We are influencing change on a national scale while still maint
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Complete quality review of call accuracy Identify defects and properly score the audit form a Provide feedback as necessary to the Operational teams Developing new audits and supporting SME Providing operations with suggestions for improving efficiency and accuracy Perform other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you a
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Develop crisp, differentiated positioning and messaging Harness the power of DocASAP's partner ecosystem to create brand awareness Run online and offline campaigns to deliver high value, high quality leads to sales Create and maintain compelling collateral (e.g., datasheets, decks) and web content Develop and deliver case studies Provide marketing support during the sales process Prepare content f
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Works within the California MA Scope of Practice to performs patient intake process (vital signs, history) Performs clinical procedures (injections, ear lavage, EKG) Assists the providers with invasive procedures Maintains clinical logs (autoclave, temperature logs) Submits electronic referrals for additional services Enrolls / responds to electronic patient messages in the patient portal program
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Make outbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self management Interact with Medical Directors on challenging cases Coordinate care for members Make referrals to outside sources Coordinate services as needed (home health, DME, etc.) Educate members on disease processes Encourage members to make heal
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Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures Maintain established quality control standards Record and process patient care documentation quickly and accurately Coordinate patient care as directed by physicians, company standards and policies Organize, stock and clean exam and treatment rooms and sterilize instruments Maintain quality
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DocASAP, part of the UnitedHealth Group family of businesses, is a high performing startup that is optimizing the health care industry by transforming 1.1 million providers into one streamlined system that reduces wait times for patients so they can get access to care when they need it. Our CEO championed this initiative after waiting hours in an emergency room with his son. We are actively reduci
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While working with the customer, you will be leading the onboarding of new health care provider's onboarding on DocASAP online solution while ensuring client's scheduling requirements are fully met In addition, you will also play a key role in providing training sessions to customer on the solution You will work as an operational support and will be required to drill deeper into operational and te
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Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Authorize appropriate payment or refer claims to leads or supervisors for further review Analyze and identify trends and provides reports as necessary Consistently meet established productivity, schedule adherence, and quality standards Provide excellent customer servi
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Manage a list of assigned Home Care Providers. Schedule and meet weekly with Providers virtually to go over members schedules and care workers check in/outs ensuring Providers are meeting their compliance obligations. Process incoming calls from Providers resolving multiple issues as well as resolving support tickets submitted within the EVV system by the Provider. Collaborate with internal depart
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