Healthcare Advocate - OptumInsight - Birmingham, AL

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

Functioning independently, the Healthcare Advocate travels across the assigned area to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. Utilizing data analysis, identify and target providers who would benefit from our Medicare Risk Adjustment training and documentation/coding resources. Educate providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status. Reach out to physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships. Develop comprehensive, provider-specific plans to increase their RAF performance. Train providers on our Risk Adjustment programs and tools, and work toward the adoption of these programs in to their practices. Position will also be responsible for educating providers on Medicare STARs ratings as well as promoting member Hedis quality screenings. Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts.

Required Qualifications:

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  4+ years of experience in managed care



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  1+ years of experience giving presentations to mid- to large-sized groups



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  Intermediate level of proficiency with all facility/ancillary contract reimbursement methodologies



• Excellent communication skills required including ability to communicate effectively with various levels of leadership


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  Advanced proficiency in MS Office (Excel, Access and PowerPoint)

Preferred Qualifications:

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  A background in Nursing, Coding, Provider Relations, Contracting or Pharma sales



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  Project Management experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.