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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