Field Sr. Practice Support Specialist - Seabrook - Optum

    Optum
    Optum Seabrook

    1 day ago

    Description

    Job Title: Field Sr. Practice Support Specialist

    We are seeking a highly motivated and organized Sr. Practice Support Specialist to join our team at Optum.

    • The ideal candidate will have experience in provider relations network management with expertise in Medicare Advantage HEDIS STAR CMS reimbursement models risk adjustment analytics communication relationship-building and proficiency in Microsoft Office.

    Care & Value Optimization

    1. Navigate patient census across assigned practices focusing on high-risk cohorts while ensuring timely interventions coordination between PCPs hospitalists specialists care management programs contingency plans for high-risk patients documentation advanced directives care bundle elements weekly touchpoints medical director dyad partner admissions escalations contracted providers PBM Medical Director Team analysis utilization performance data trends root causes action plans aligned market goals quality cost coding scheduled ad-hoc reports key metrics KPIs benchmarks targets measurement methodologies outcomes assessments accountability transparency scorecards dashboards visualizations toolkits support collaboration training coaching mentoring professional development succession planning diversity equity inclusion accessibility affordability sustainability impact efficiency excellence ROI payback measures timelines milestones deliverables roadmaps strategic objectives mission vision values leadership governance compliance standards regulations policies procedures protocols guidelines manuals best practices standards checklists audit trails version control configuration items upgrade patch release schedule backups disaster recovery continuity maintenance renewal preventive routine task list,”;

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