Clinical Care Coordination Specialist
2 weeks ago
At MedPOINT Management, we are seeking a highly skilled Clinical Care Coordination professional to join our team.
Job Summary:
The Clinical Care Coordination role is responsible for generating health plan data on a routine and ad hoc basis, for completion of reporting requirements per IPA/Health Plan. The successful candidate will provide analyses of data for compliance purposes and participate in the development, implementation, and analysis of data automation and integration projects.
Key Responsibilities:
- Prepares and submits all IPA/Health Plan Case management and Inpatient reports on a routine, ad hoc, and/or as needed basis interdepartmentally and to external clients.
- Reviews and analyzes IPA/Health plan reporting data for compliance, providing feedback to the CCC Compliance Reports Supervisor of any trends, discrepancies, or other findings as it relates to compliance requirements.
- Generates data universes for audits.
- Participates as the SME and takes the lead in the development, implementation, and analysis of data automation and integration projects.
- Analyzes monthly backup data to identify discrepancies and communicates those to the appropriate TMs for correction in EZCap.
Requirements:
- Bachelor's degree is preferred or related work experience.
- Two or more years' experience in a healthcare-related field/Reporting and Data Analysis.
- Computer proficiency on Microsoft Word, Outlook, Excel, and PowerPoint.
- Experience with EZCap preferred.
- Basic math calculation skills.
Skills and Abilities:
- Must have strong analytical skills and the ability to problem solve.
- Ability to self-motivate, prioritize tasks, manage time, and work independently.
- Effective verbal and written communication skills while maintaining sensitivity to individuals of diverse cultures and lifestyles.
- Ability to be flexible and work in a changing environment.
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