Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify, initiate, and follow up on referrals for community based programs and providers; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as

Engage, develop, cultivate and expand new and existing client relationships through policy consultation and thought leadership Support the continued development of existing strategy to fuel long term organizational growth in partnership with organizational leadership Manage project delivery teams responsible for day to day project execution, including teams responsible fo

Engage, develop, and cultivate existing client relationships through policy consultation and thought leadership Lead payment model operations and technical assistance activities, including oversight of analytics to inform model operations, for value based care initiatives Mentor other staff to develop their technical and analytical problem solving skills Maintain a consis

Contribute to projects involving the application of statistical sampling such as Investigating improper Medicare and Medicaid billing Estimating fund recoupment associated with auditing programs Predicting improper billing for audit optimization Summarize and analyze claims data Produce analytic reports on statistical issues associated with auditing programs You'll be rew

Establish and implement standard policies, procedures processes and best practices across the company to promote compliance with applicable laws and contractual obligations Conduct state specific legal research and monitor changes in requirements to mitigate risks and achieve compliance Support the collection of data for regulatory filings, coordinate and develop reports,

$3,500 Sign on Bonus for External Candidates! Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's

Fully Remote | Flexible Scheduling | 1099 Contract

Assist the provider / team with various care coordination activities in the nursing home Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits Collaborating with the primary APC and nursing facility to identify and respond to patient Change in Condition May assist the provider by completing DSTs, re assessing th

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Independently perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid demonstration waivers Design complex evaluation analytic plans that leverage mixed method approaches and include the identification of research questions, program relevant metrics, data sources, and statistical methods Work with comple

Direct and manage large evaluation contracts including technical direction, financial management, staff management, and client relations Design and conduct studies that require advanced empirical methods or mixed quantitative and qualitative evaluation methods Effectively oversees production of client ready deliverables Lead large proposals Lead research reports and manus

Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Collaboration with case management team Documentation, coding and gap closure 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

Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Collaboration with case management team Documentation, coding and gap closure 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

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere . As a team member

First to lead large evaluation and policy analysis projects. Leadership requires high levels of technical expertise and innovation, ensuring scientific excellence in the design and execution of the work. Leadership also requires financial and managerial acumen to guide a large, interdisciplinary team of consultants and deliver high quality products on time and within budg