Field Clinical Practice Performance Specialist - Omaha, Nebraska
Optum
La Vista, NE
4 days ago
$23.70 - $46.35
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Job Description
Join Optum as a Field Clinical Practice Performance Specialist, where you'll improve health outcomes by coordinating care and supporting members' wellness. This role, based in Omaha, involves reviewing charts, scheduling appointments, and collaborating with healthcare teams to ensure members receive the best care possible.
Key Responsibilities
Provide care coordination through physician practices
Conduct telephonic member needs assessments
Interact with members via telephone and schedule appointments
Review member charts prior to physician appointments
Partner with practice staff to manage member appointments
Create and maintain professional relationships
Facilitate member referrals to special programs
Assist members in accessing community and Medicare resources
Collaborate with interdisciplinary teams to coordinate care
Provide education on health care needs and available services
Work to facilitate member compliance with health plans
Identify barriers for compliance and communicate with members
Document member conversations and activities
Maintain focus on timely, high-quality customer service
Ensure confidentiality of sensitive information
Required Qualifications
High School Diploma/GED (or higher)
2+ years of experience in a hospital, acute care, or healthcare
2+ years of customer service/call center experience
Intermediate computer/typing proficiency
Ability to travel to provider offices within a 2-hour radius
Access to reliable transportation and a valid US driver’s license
Preferred Qualifications
Associates degree or higher
Problem-solving skills
Experience with HEDIS and EMR
Experience navigating and analyzing reports in Excel
Medicaid, Medicare, Managed Care experience
Prior Physician office experience
Experience with vulnerable populations
Call Center experience
Excellent verbal and written communication skills
Demonstrated ability to empathize with customers
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution