Clinical Practice Performance Coordinator

4 days ago


Earth City, Missouri, United States Optum Full time
About the Role

We are seeking a highly skilled Clinical Practice Performance Coordinator to join our team at Optum. As a key member of our organization, you will play a critical role in driving clinical relationships and engagement with physician practices, members, and pharmacies.

Key Responsibilities
  • Develop and implement comprehensive, provider-specific plans to improve clinical practice performance and reduce medical costs.
  • Collaborate with internal stakeholders, including Network contract ACO managers, Health Care Economics and Analytics, Medical Directors, Reporting, and Health Plan market leaders, to improve health, well-being, quality, and practice performance.
  • Utilize data analytics, technology, and workflow changes to identify performance improvement opportunities and drive clinical support.
  • Facilitate effective education and reporting to improve clinical practice performance and reduce readmissions.
  • Proactively engage with members with complex and/or chronic conditions to improve health outcomes.
Requirements
  • High School Diploma / GED
  • Must be 18 years or older
  • 2+ years experience as a pharmacy technician
  • 2+ years of telephonic customer service experience
  • 1+ year of a healthcare background with medical terminology familiarity of clinical issues
  • 1+ year of working experience with ICD- 9/10 and CPT Codes
  • 1+ year of working experience with Microsoft Tools: Word
  • 1+ year of working experience with Microsoft Tools: Outlook
  • Ability to travel 60% of the time for business meetings and 40% remote work
  • Pharmacy Tech License
Preferred Qualifications
  • Experience working in a physician, provider, and/or medical office
  • Medical Assistant
  • LPN
  • EMR and HEDIS knowledge and experience


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