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Coordinator - Value Based Care

3 months ago

Scottsdale, United States Optima Medical Full time
Job DescriptionJob Description

About Optima:

Optima Medical is an Arizona based medical group consisting of 23 locations and 95 medical providers across 7 counties. Committed to improving health outcomes for individuals and families, Optima delivers care to more than 150,000 patients statewide.

Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through a comprehensive care model focused on preventing the nation’s top leading causes of death. We go beyond primary care, with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.

We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We are looking to add a Value Based Care Coordinator to perform various duties to support our growing infrastructure. The ideal Value Based Care Coordinator will be expected to prioritize and balance tasks while working in a fast-paced environment.

Job Role:

Reports to the Director of Business Development and is responsible for coordinating and supporting the value-based care and population health initiatives of the company. Responsibilities include data analyses, collecting supporting records and documentation to close HEDIS Quality Measures, participation in routine performance meetings with health plans, and supporting all efforts related thereto.

Responsibilities:

  • Collect data and patient records to close HEDIS care gaps and maintain STAR Ratings
  • Meet with multiple health plan representatives related to their incentive programs
  • Working Provider Portals to close care gaps
  • Attest to patient's historical diagnosed chronic and suspect conditions
  • Assist Director with participation in population health programs

Qualifications:

  • 1 year experience in Population Health or Medical Billing preferred
  • High level of professionalism
  • Excellent written and verbal communication skills
  • Excellent organizational and problem-solving abilities
  • Ability to work collaboratively with diverse teams and departments
  • Knowledge of healthcare regulations and compliance standards
  • Strong communication and interpersonal skills
  • Proficiency in electronic health records (EHR), Microsoft products, and other relevant software.

Why join our team?

  • Career advancement opportunities
  • Leadership and mentoring
  • Resources to further career
  • Fun work environment (events, holiday parties)
  • Benefits (medical/vision/dental/401k/PTO/paid holidays)
  • Supportive and positive work environment