Creates and executes Project plans and revises appropriately to meet changing requirements and needs/Plans and schedules Project timelines and milestones using the appropriate tools/Manages day to day operational and tactical activities of a Project/Develops and delivers Progress Reports, Proposals, Requirements Documentation and Presentations/Diagnoses task/procedural ch

Logs and documents effectively in Smartsheet ticket logging systems Monitors and logs tickets for the OPC Portal, E mail boxes, responding timely to E mails and issues Create and maintain documentation for technical support of business and information systems Works on OPC Support daily, weekly and monthly tasks, with limited oversight Assesses and interprets client needs

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which in

Travels to various assigned clinics to provide MA supervision, support and training in acquired clinics to support the integration process Provides supervision, support and serves as an on going consultant resource to the acquired clinic to ensure performance goals are met Engages the providers and staff as an early adopter and mentor of the changes being implemented in t

Performs all duties within the scope of a Certified Medical Assistant (procedures, injections, diagnostic testing, phlebotomy) Coordinates healthcare screening results as directed by providers, company standards, and policies Travels with the mobile team to clinics and centralized locations to conduct screening clinics to support contracted physician network Rooms patient

Focus on psychiatric and chemical dependency treatment for members Assist in determining appropriate levels of care Obtain information from members on outpatient requests for treatment Determine if additional clinical treatment sessions are needed Coordinate benefits and transitions between various areas of care Provide crisis intervention and support to members You'll be

Assisting in the review of medical records to highlight opportunities for the medical staff. Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff Activities may include data collection, dat

Requerimientos del cargo Realizar los pedidos de elementos especiales que se solicitan al momento de la programacion de cirugia tales como cintas TVT, injertos oseos e injertos de hueso, MOS (Material de osteosintesis) e insumos manejados desde almacen de cirugia suministros, realizar les pedidos de elementos y suministros en las ubicaciones a cargo del area de suministro

Configure C&S markets, including but not limited to new queues, material changes, reports &, process flows utilizing CSP Macess using source of truth documents, reference policies and applicable SOP's Complete audit configuration loads for adherence to procedures to ensure quality measures are met/exceeded Research configuration issues, audit findings or other defects to

Meet the Data Engineering needs of the Optum Analytics Life Sciences business as part of the Life Science Data Factory team Perform all phases of data engineering including requirements analysis, design, development and testing Design and implement features in collaboration with business and IT stakeholders Design reusable workflows, components, frameworks and libraries D

Provide executive level and administrative support to bank president and C level executives Act as administrative process guru and "go to" for the team Business Segment Liaison point of contact for onboarding new employees Compile and/or integrate information needed to complete reports, presentations, and documents Manage calendars Coordinate domestic travel with clear co

Requerimientos del cargo Apoyar y aprobar las respuestas dadas por los auxiliares a las objeciones de pertinencia medica, para asegurar el proceso de radicacion de cuentas y contribuir con el recaudo de la cartera. Analizar y solicitar soportes necesarios para dar respuesta a las objeciones de pertinencia medica formuladas por las empresas. Hacer seguimiento a la solicitu

Requerimientos del cargo Responder oportuna y eficazmente las objeciones de soportes o pertinencia por los servicios prestados por el personal de enfermeria. Analizar y solicitar soportes necesarios para dar respuesta a las objeciones de soportes y pertinencia de Enfermeria formuladas por las empresas. Hacer seguimiento a la solicitud de soportes y analisis de las respues

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes wa

Answers a minimum of 13 calls per hour resolving moderate to complex issues. Schedule and verify appointments in clinical information system. Verify and update patient demographic and insurance information. Send and receive tasks to Provider offices to assist patient with access to medical care. Receive and process; expedite, stat and at risk referrals. Contact patients t