Assess new training requests and provides training project management to create learning/performance support materials for PHS frontline staff and leadership Consult with business leaders and juggle multiple priorities impacting growth, business integration, operational excellence and cost management priorities Specific initiatives supported by this role include client transitions from FI to UMR a

Accurately transcribe dictations provided by healthcare professionals (e.g., physicians, nurse practitioners, or physician assistants) Maintain adherence to transcription quality assurance standards (e.g., QA metrics, productivity metrics, daily reviews of post QA reports) Provide post QA documents (e.g., difference documents) to transcriptionists and/or QA analysts, as appropriate Demonstrate app

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) The Director of Quality/HEDIS is responsible for coordinating and implementing quality initiatives designed by enterprise/OHCC to continuously improve all aspects of health care delivery. Th

This position is responsible for prospective and retrospective review of the Electronic Health Record (EHR) to assist providers in more specific and complete documentation and coding. Through interaction with the physicians and other clinicians, this role facilitates improvement in the quality, completeness, and accuracy of the medical record documentation to support severity of illness, medical n

Assist in development of SAS, R, Python and SQL software programs and components per assigned tasks by team leads and other developers. Assist in debugging, testing, and troubleshooting written software programs and components. Participate in maintenance and support of research projects by assisting Configuration Analysts, Business Analysts, and Developers in troubleshooting and resolving analytic

Provide preventative and primary care for patients in assigned long term care facilities Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Work with the facility's utilization review process In this role, you'll also explore and learn more about palliative care You'll be rewarded and recognized for your performance in

Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function Educate customers regarding the availability of receiving invoices and remitting payments through online applications Monitor outstanding bal

Core Consulting Skills Collaborate with business and technology departments to define deliverables and develop solutions that are reusable across the organization Create written and oral communication artifacts that effectively summarize findings, support fact based recommendations and provides appropriate detail to substantiate conclusions Conduct research studies that may include collecting, ana

This includes communicating vision, values, culture, strategy, objectives and goals. The manager and the team then have to translate the purpose into the specific tasks of the team, so everyone know where everything fits Creating High Performing Teams Creating and fostering high performing teams is essential. An effective team has task clarity and right assembly of talent to do the job. Team membe

Conduct full life cycle recruitment including candidate sourcing, screening, interviewing and offer negotiation and communication Develop sourcing strategies in partnership with leadership, as well as candidate pipelines for specific positions Share market research and trends in candidate flow, market reactions and awareness to local/national branding Interview and evaluate candidates utilizing co

Manage unit cost budgets, target setting, performance reporting and associated financial models Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls Ensure that networ

Provides premium level service, removing burdens and providing end to end resolution for members. This includes, but is not limited to Clinical, Financial Decision Support, Behavioral Support, Claims inquiries, and more Provide single point of contact for the member for highly designated or dedicated UHC national or key account insurance plans Respond to and own consumer inquiries and issues by id

Lead or contribute to the development of program or project scope statements, in consultation with applicable stakeholders (e.g., program/project charter, Statement of Work, Business Vision Document) Collect, analyze and maintain financial forecast information (e.g., labor, hardware, software), using input from applicable sources (e.g., resource managers, project managers, application planners, sy

Locate, outreach and engage members within the community that clinicians and care navigators have not been able to reach; create a positive experience and relationship with the member Assesses functional and social needs of members and collaborates to develop and implement solutions with the frequency established in the model of care Establish goals and a plan of care to meet identified functional

Data Engineering On prem processes maintenance AWS debugging skills Working with Python, Scala, Spark, Groovy, Jenkins pipelines Maintenance and creation of Step Function based data pipelines You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other