Serves as the clinical liaison with clinical performance and administrative staff as well as providing expertise solving member issues Makes outbound calls to assess members' current health status, as well as take inbound calls to resolve inquiries and assist members as needed. Warm transfer to other departments or services as needed Assesses patient needs using establish

Record monthly journal entries for asset, liability, revenue, and expense transactions Perform monthly account reconciliations for asset and liability accounts Support general ledger close processes including consolidating, maintaining, and reconciling accounts Prepare monthly customer invoices Produce clear, well formed documentation to communicate results and conclusion

Familiarity with SMF/RMF record structures Ability to work with SAS programming and statistical data Utilize knowledge of large scale operational and system concepts Develop and maintain system performance reporting using MXG, SAS, and Splunk Monitor daily system health for areas of improvement and exceptions Deliver recommendations for enhancing performance Perform probl

Prepare or review monthly journal entries for asset, liability, revenue, and expense transactions Perform or review monthly account reconciliations for asset and liability accounts Support general ledger close processes including consolidating, maintaining, and reconciling accounts Produce clear, well formed documentation to communicate results and conclusions Validate fi

Lead engineering teams for conceptualizing, designing, developing, and maintaining vital elements of UAIS Platform Raise the bar on excellence in execution in terms of quality, timeliness, and scalability Take accountability for Key Engineering Metrics of the platform namely Availability, response time metrics, Time to Value and Time to build Develop and Evolve Engineerin

Establish solid market presence as a representative of Optum Financial with payer c suite/VP level contacts Oversee a team that will drive sales activity to build pipeline, proposal, and contract activity to achieve collective team sales quota/target Lead or participate in client meetings delivering solid presentation of Optum Financials' value proposition Manage an organ

Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable Big Data platform Identify gaps and opportunities for improvement of existing solutions Define and develop APIs for integration with various data sources in the enterprise Analyze and define customer requirements Assist in defining

Prepare journal entries and reviews accounting classifications, in accordance with generally accepted accounting principles Maintain general ledger accounts and related activities for the production of financial statements and reports Reconcile, analyze and review general ledger accounts in preparation for month end close Prepare documentation in support of external and i

Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre registration of patients Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc Verify insurance eligibility and completes automated insurance eligibility verificatio

Extract, analyze, aggregate, review, and interpret data Participate in client communications and build sustainable client relationships Prepare information for clients by building reports and delivering summary of results Collaborate and communicate effectively with broader team, while supporting ad hoc analytics where needed Serve as a resource to others and develop stra

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

UnitedHealthcare

Responsible for the overall direction, coordination, implementation, execution and completion of IE and other related programs ensuring consistency with company values, strategy, goals, timeline, and budget Excellent client and delivery risk and issue management capabilities Management of customer relationships and contracts Develops solid intra company relationships by p

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of