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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