Clinical Care Coordination Specialist

2 weeks ago


Los Angeles, California, United States MedPOINT Management Full time
Job Title: Clinical Care Coordination

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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