Field Clinical Practice Performance Specialist - Omaha, Nebraska
Optum
Papillion, NE
3 days ago
$23.70 - $46.35
Job Description
Join Optum as a Field Clinical Practice Performance Specialist where you will enhance health outcomes by coordinating care and engaging with members. This role involves travel to physician practices to improve clinical quality, conduct assessments, and facilitate appointments, all while promoting health equity.
Key Responsibilities
Provide care coordination through physician practices to improve clinical quality
Conduct telephonic member needs assessments
Interact with members via telephone to schedule appointments and follow up
Review member charts prior to physician appointments
Partner with administrative and clinical staff while managing appointments
Create and maintain professional relationships with members and providers
Facilitate member referrals to special programs
Assist members to access community and other resources
Collaborate with healthcare teams to coordinate appointments and screenings
Provide education to members regarding healthcare needs
Work to facilitate member compliance with health plans
Document member conversations and activities
Maintain a focus on timely, high-quality customer service
Maintain confidentiality of sensitive information
Required Qualifications
High School Diploma/GED (or higher)
2+ years of experience working in a hospital, acute care or healthcare
2+ years of experience working in a customer service/call center role
Intermediate level of computer/typing proficiency
Ability to travel to provider offices within service area
Access to reliable transportation and possess a valid US driver’s license
Preferred Qualifications
Associates degree or higher
Problem solving skills
Experience with HEDIS and EMR
Experience with navigating and analyzing reports in Microsoft Excel
Medicaid, Medicare, Managed Care experience
Prior Physician office experience
Experience working with vulnerable populations
Call Center experience
Excellent verbal and written communication skills
Demonstrated ability to identify with a consumer's needs
Demonstrated active listening skills
Demonstrated ability to take responsibility and accomplish goals
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution