Partner with business leadership to understand business operations and objectives, socialize Workplace Security Programs, and ensure business leaders are informed of Corporate Security resources, expertise, and guidance Provide business leadership with security incident reporting metrics and actionable data and develop an understanding of business leadership perspective r

Critical performance responsibilities Compiles and maintains accurate and timely information on contract performance for all fee for service and value based contracts in a database, including renewal dates, cancelation notices and provider relations contacts Assist in the development of a fee for service and value based contracting strategy for Medicare, Commercial and Me

The Polyclinic (part of Optum) is looking for a full time Sleep Medicine physician to join our tenured team in Seattle, Washington. You will join a thriving practice that continues to grow. Our multi specialty group is physician lead and comprised of more than 600 exceptional primary care and specialty providers. Caring. Connecting, Growing together. Our dedicated team tr

Provide excellent customer service Constantly meet established productivity, schedule adherence, and quality standards Respond to complex customer calls Resolve customer service inquiries which could include Benefit and Eligibility information Billing and Payment issues Customer material requests Physician assignments Authorization for treatment Explanation of Benefits (E

Supports patient care delivery in the areas of scheduling, insurance verification, and support services Ensure patients are fully ready to have successful interactions when they come in for a visit Own provider schedule accuracy, providing scheduling options, match patient needs to appointments across the continuum Adhere to multi disciplinary standardized scheduling prot

Manage unit cost budgets, target setting, performance reporting and associated financial models Predict emerging customer needs and develop innovative solutions to meet them Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with compan

Supports patient care delivery in the areas of scheduling, insurance verification, and support services Ensure patients are fully ready to have successful interactions when they come in for a visit Own provider schedule accuracy, providing scheduling options, match patient needs to appointments across the continuum Adhere to multi disciplinary standardized scheduling prot

Answer incoming calls in a customer friendly and professional manner to determine the purpose and request of the call and process appropriately Meet department metric expectations for answering and processing calls Schedule and reschedule appointments for patients according to established protocols and templates Be sure to obtain appropriate and accurate data based upon t

Provide Epic product function, design, build, and testing expertise and experience for Epic modules related to Epic Patient Access/Decision Trees applications including Prelude and Cadence Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Work closely with Patient Access use

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Collaboration with case management team Documentation, coding, and gap closure 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 rol

Southwest Medical (SM ) is a multi specialty group of Physicians, Nurse Practitioners, and Physician Assistants consisting of over 300 providers, fourteen clinical locations including nine health care centers, six urgent care clinics, four convenient care centers and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout sout

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t