Bring traditional actuarial skills to provider organizations as the health care market continues to evolve, including Assist in developing innovative strategies, value based contracts, and innovative risk based arrangements Develop, conduct, and evaluate studies on pricing, utilization, and health care costs for our broad range of provider clients Prepare, forecast, and a

Supervisory Responsibilities Responsible for employee relations including work direction of employees, hiring, training, performance reviews, administering policies and procedures, disciplinary action, and compensation recommendations. Direct implementation of departmental objectives, goals and policies. Carry out supervisory responsibilities in accordance with the organi

Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to Epic MyChart Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Lead small to medium complexity Epic software upgrade initiatives or enhancements to workflow

Participation in partnership solutions that meet both internal and external requirements Development of client reporting package for both internal and external review Effectively partnering and collaborating with cross functional teams that include Finance, Product, Operations, Legal and other internal customers Preparing financial analysis and presenting partnership, ris

Provides leadership and support in establishing and directing Quality programs, specifically clinical call center and chart review teams Develops and maintains policies and procedures that support the corporate initiatives that meet State, Federal legal requirements and standards Provides expertise to the training department on HEDIS/STAR measures and tools that support c

Create, manage, and respond to support tickets submitted by customers experiencing challenges with Contact center platform Provide exceptional omnichannel customer support by gathering and interpreting customer challenges Act as a technical liaison or subject matter expert in supporting cross functional issues Support the Technical Support Specialist in advanced trouble s

Perform research which advances the state of the art in AI and ML Implement algorithms and evaluate their performance on healthcare data Communicate results across an interdisciplinary team and explore use cases which improve real world healthcare outcomes Document research internally and externally, including publications in machine learning and other scientific conferen

Perform remote and onsite hospital bill charge audits as assigned while meeting department quality expectations Manage case inventory to ensure timely scheduling of remote and onsite audits while maintaining weekly productivity goals Ability to assess case details and provide input into audit potential of facilities & cases Effectively interact and communicate with teamma

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

Number of Job Openings Available 1 Date Posted January 08, 2024 Department 62329900 Allina Health Group Eden Prairie Shift Day (United States of America) Shift Length 8 hour shift Hours Per Week 40 Union Contract Non Union Weekend Rotation None Job Summary Allina Health is expanding primary care services in the community of Eden Prairie, MN early 2025. Eden Prairie is a c

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity o

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and r

As new pharmacy clients are welcomed to OptumRx, the new client implementation team offers a best-in

An Amazing Career Opportunity fora VP, Human Resources, PACS! Location Austin, TX; Eden Prairie, MN; Galway, Ireland Job ID 29678 Are you a people centric person, who knows how to lead teams by coaching them and encouraging them to go the extra mile? Do you have a passion for technology, are keen to hear things from the customers and are always in tune with the most recen