Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which in

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes wa

$1,500 Sign-on Bonus for External Candidates

$1500 Sign-on Bonus for External Candidates

Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance Meet department standards to adherence metric Adherence metric is evaluated daily Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with e

Partner with WellMed/USMD physicians to assist patients in completing health screens and preventive care measures that are not yet completed. Outreach to external physician offices to obtain copies of consult notes and reports for patients who had preventive healthcare screens and clinical measures completed at outside facilities. Successfully update preventive health scr

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes wa

Complete provider orders per state and provider regulations Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read, and report over read results to providers Retrieve and archive radiographic reports Create/Burn CD's in compliance with HIPAA regulations

Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, f

Manages Quality Coordinators, Clinical Quality Consultants (CQC) I, II and Senior CQC and is responsible for the overall success of the market's HEDIS/Star results for contracted physicians Responsible for all aspects of staff development to include hiring, training, coaching and development Maximizes staff performance and technical expertise through clearly defined objec

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include insurance verification, complete preauthorization's and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company

Applies knowledge/skills to basic, repeated activities Demonstrates minimum depth of knowledge and skills in own function Responds to standard requests Requires assistance in responding to non standard requests Solves routine problems by following established procedures Others prioritize and set deadlines for employee Reviews accounts including Explanation of Benefits (EO

A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join one of our clinics in the Elam Area in Dallas, TX . At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm

Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures Maintain established quality control standards Record and process patient care documentation quickly and accurately Coordinate patient care as directed by physicians, company standards and policies Organize, stock and clean exam and treatment rooms and sterilize ins