Population Health Assistant

Department:

Status:

Benefits Eligible:

Hou rs Per Week:

Schedule Details/Additional Information:

Full-time Dayshift Monday-Friday 8:00 AM-4:30 PM.

This position will be remote with occasional onsite needs and an annual meeting that will be in-person in either NC or GA.

No relocation and no sponsorship or transfer of visa for this position now or in the future.

Pay Range:

• Coordinates intake of cases on new and established assignments to expedite the Care Coordination process by facilitating the medical review process verifying health plan eligibility obtaining and assessing preliminary clinical and non-clinical data or needed additional data determining appropriate case type and triaging to the appropriate resource. Initiates and advances the Care Coordination plan monitors status and advises regarding requirements process and status.
• Researches organizes and maintains the teams library of resources guidelines and policies. Performs medical literature review searches to support the department.
• Facilitates implementation of new employer groups in collaboration with Onsite Nurse and sales staff. Insures adequate onboarding materials are available and interim reporting tools and processes are in place.
• Coordinates implementation of care gap outreach. Utilizes established criteria to generate lists of members requiring intervention and to process reminders according to established protocols. Verifies list accuracy and documentation of interventions.
• Assists in development and training of new employee department members in areas such as information system programs individual health plans and policies and procedures. Trains and educates provider office staff in referral/authorization process and procedures contracts standards benefit plan limitations and resource/contact liaisons.
• Develops and generates reports as well as gathers compiles and summarizes data for reporting and analysis by staff management and external partners. Assists in monitoring tracking and analyzing data.
• Coordinates development ordering and stocking of materials to support Population Health activities. Initiates design based on branding guidelines and business needs.
• Oversees and/or maintains department files binders records logs etc. Identifies need of additional record keeping and establishes same.
• Performs a variety of routine and moderately complex administrative duties such as screening incoming telephone calls; open sort and route incoming mail and faxes; typing letters memos and reports; monitoring office equipment; purchasing/ordering of equipment or supplies.

• None Required.

• High School Graduate.

• Typically requires 5 years of experience in population health management utilization management claims health insurance processing clinical or care management/quality environment.

• Proficiency in the use of ICD-10 CPT and HCPCS coding preferred.
• Knowledge of medical terminology.
• Ability to manage data systemically.
• Demonstrates organizational ability and attention to detail and accuracy.
• Advanced skills and knowledge in the use of Microsoft Office (Excel PowerPoint and Word) Internet explorer and similar products.
• Excellent organizational interpersonal and communication skills (written and verbal) with the ability to effectively communicate with a variety of individuals.
• Exercises independent judgment and demonstrate excellent problem-solving skills while able to still work well within a team.
• Ability to demonstrate self-direction in prioritizing and accomplishing job responsibilities.
• Ability to maintain a high degree of confidentiality.

• Must be able to sit stand walk lift bend twist crawl kneel climb and reach above shoulders at various times in each workday.
• Must be able to occasionally lift up to 10 lbs.
• Must be able to continuously use a keyboard.
• Exposed to normal office environment.
• Operates all equipment necessary to perform the job.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training

• Premium pay such as shift on call and more based on a teammates job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical dental vision life andShort- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g. full-time part-time per diem temporary etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Required Experience:

Junior IC