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Senior Practice Performance Specialist - Remote in KY


Pay$23.70 - $46.35 / hour
LocationLouisville/Kentucky
Employment typeFull-Time

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  • Job Description

      Req#: 2268147
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $46.35 per hour
      - Comprehensive benefits package, including medical, dental, and vision insurance
      - Paid Time Off accrual starting with your first pay period plus 8 Paid Holidays
      - Opportunity for career advancement and professional development
      - Flexible work environment with 40% remote work and 60% travel commitment
      - Employee discounts and referral bonus program available

      What to Expect (Job Responsibilities):
      - Independently meet with providers to discuss tools and programs aimed at enhancing care quality for Medicare Advantage Members
      - Assist in reviewing medical records and highlighting opportunities for quality improvement
      - Track appointments and ensure accurate documentation in supported systems
      - Interact with UHC members via phone to facilitate appointments and support care needs
      - Collaborate with leadership and practice staff to implement strategies for closing gaps in care

      What is Required (Qualifications):
      - High School Diploma/GED (or higher)
      - 3+ years of clinical experience in a healthcare setting
      - 2+ years of experience as a Microsoft Office specialist with advanced skills in Excel, Outlook, and PowerPoint
      - 1+ years of experience in account management or a sales/service role
      - Reliable transportation, valid driver's license, and proof of insurance for travel within service delivery areas

      How to Stand Out (Preferred Qualifications):
      - Bachelor of Science in Nursing
      - Current, unrestricted RN or LPN license in the state of residence
      - Experience with HEDIS and EMR (electronic medical records)
      - Knowledge of the Medicare market and clinical standards of care
      - Strong problem-solving and communication skills

      #HealthcareServices #MedicareAdvantage #CareerOpportunity #CompetitivePay #RemoteWork

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  • About the company

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