Care Team Associate - Farmington, CT
About the position
The Care Team Associate position at Optum involves providing administrative support and customer service within a community-based medical group. The role is essential for ensuring effective communication and coordination of care for members, while adhering to regulatory requirements. This full-time position offers a hybrid work environment, combining both onsite and remote work, and includes comprehensive training to equip associates with the necessary skills for success.
Responsibilities
Document all member interactions in compliance with documentation requirements for Model of Care, NCQA, and CMS regulations.
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Receive and respond to incoming Care Coordination inquiries from various communication channels.
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Coordinate and assist in monitoring documentation Care Management queues for various referrals.
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Process Care Management requests and prepare administrative support for clinical staff.
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Conduct inbound and outbound calls for program requirements, including member scheduling and surveys.
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Prepare daily INPT and Post-Acute Census for CM referrals and inform the Care Management Manager of outstanding cases.
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Complete timely data entry of member contact information into software applications.
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Provide clerical and administrative support to clinical staff and managers for special projects and reporting needs.
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Deliver excellent customer service to all internal and external customers.
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Attend required meetings and participate in ad hoc committees as needed.
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Maintain knowledge of health plan benefits, network, NCQA regulations, and health plan policies.
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Identify opportunities for process improvement in member care.
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Maintain strict confidentiality and adhere to all department policies.
Requirements
High School Diploma / GED or equivalent work experience.
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Must be 18 years or older.
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Medical assistant certification.
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2+ years of administrative support experience.
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Knowledge of medical terminology.
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Advanced knowledge of Microsoft Office products, including Excel, Word, and Outlook.
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Ability to toggle between multiple IT systems and platforms.
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Ability to work normal business hours of 8:00am - 4:30pm EST, with occasional overtime.
Nice-to-haves
2+ years of experience in a physician's clinic or hospital.
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2+ years of experience working in a medical care setting as a receptionist or medical assistant.
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Ability to prioritize, plan, and handle multiple tasks simultaneously.
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Ability to work independently with some supervision.
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Ability to maintain professionalism in conduct and appearance.
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Excellent organizational and customer service skills.
Benefits
Paid training
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Work from home
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401(k) matching
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Comprehensive benefits package
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Incentive and recognition programs
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Equity stock purchase
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