Field Clinical Practice Performance Specialist - Omaha, Nebraska
Optum
Bellevue, WA
2 days ago
$23.70 - $46.35
Job Description
Join Optum as a Field Clinical Practice Performance Specialist where you'll enhance health outcomes by coordinating care for patients in physician practices. This role involves chart reviews, member assessments, and collaboration with healthcare teams to ensure quality care and support health equity.
Key Responsibilities
Provide care coordination through physician practices
Conduct telephonic member needs assessments
Interact with members to schedule appointments and follow up
Review member charts and create alerts for opportunities
Partner with administrative and clinical staff for member data management
Maintain professional relationships with members and providers
Facilitate member referrals to special programs
Assist members in accessing community and third-party resources
Collaborate with interdisciplinary teams for care coordination
Educate members regarding healthcare needs
Facilitate member compliance with health plans
Identify compliance barriers and formulate action plans
Document member interactions in programs
Maintain focus on customer service and confidentiality
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
Demonstrated ability to perform effective active listening skills
Demonstrated ability to take responsibility and accomplish goals
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution