Health System Specialist

Duties

Develop and implement business rules for appointing, template scheduling, referrals, and authorizations to simplify, integrate, and standardize processes.

Collaborate with contracted appointing services and managed care support functions, as well as the Referral Management Office, to optimize beneficiary care and staff support.

Advise senior leaders on the identification, development, implementation, evaluation, and management of health care delivery systems.

Manages the patient portal and secure patient messaging platform to promote access to appointments and timely communication.

Assign work and priorities; reviews output for policy compliance and service effectiveness; ensures quality, quantity, and accuracy standards are met.

Analyze and resolve complex issues affecting health care delivery operations; conducts systematic observation and evaluation of contractor performance; provides technical advice to stakeholders.