Telecommute Healthcare Advocate/Field Based

Welcome to Our Team: Unlock Your Potential as a Telecommute Healthcare Advocate Are you a driven and compassionate individual looking for a new challenge in the healthcare industry? Do you have a passion for improving the quality of care for patients and a knack for building strong relationships with healthcare providers? Look no further! We are seeking a talented and motivated Telecommute Healthcare Advocate to join our team, working remotely with frequent travel to assigned territories. As a key member of our team, you will play a vital role in driving success and making a meaningful impact on the lives of Medicare Advantage Members. About Our Company We are a leading healthcare organization dedicated to providing innovative solutions and exceptional service to our clients and patients. Our mission is to improve the health and well-being of individuals and communities, and we are committed to making a positive difference in the lives of those we serve. With a strong focus on quality, integrity, and customer satisfaction, we are an ideal employer for individuals who share our values and are passionate about making a difference in the healthcare industry. Job Summary As a Telecommute Healthcare Advocate, you will be responsible for functioning independently and traveling across assigned territories to meet with healthcare providers, discussing Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. You will utilize data analysis to identify and target providers who would benefit from our coding, documentation, and quality training and resources, establishing positive, long-term, consultative relationships with physicians, medical groups, IPAs, and hospitals. Your expertise and guidance will help providers improve their RAF performance, coding specificity, and overall quality of care. Primary Responsibilities Travel across assigned territory to meet with healthcare providers, discussing Optum tools and programs focused on improving the quality of care for Medicare Advantage Members (80% of time) Utilize data analysis to identify and target providers who would benefit from our coding, documentation, and quality training and resources Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs, and hospitals Develop comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity Manage end-to-end Risk and Quality Client Programs, ensuring accurate payments and compliance with CMS standards Consult with provider groups on gaps in documentation and coding, providing feedback on EMR/EHR systems and ICD-10 coding training Partner with a multi-disciplinary team to implement prospective programs and support providers in understanding Medicare quality programs and CMS-HCC Risk Adjustment programs Develop and present coding presentations and training to large and small groups of clinicians, practice managers, and certified coders Collaborate with doctors, coders, facility staff, and internal and external personnel on Risk Adjustment and Quality education efforts Requirements and Qualifications To be successful in this role, you will need: A Bachelor's degree (preferably in Healthcare or a relevant field) or equivalent work experience Knowledge of ICD-10, HEDIS, and Stars Proficiency in MS Office (Excel, PowerPoint, and Word), with expertise in Pivot tables and Excel functions Ability to work effectively with common office software, coding software, EMR, and abstracting systems Full COVID-19 vaccination is an essential job function of this role, with compliance with all federal, state, and local regulations, as well as client requirements Preferred Qualifications Experience working in a healthcare setting, preferably with Medicare Advantage Members Strong understanding of coding guidelines, including ICD-10 and CPT Excellent communication and interpersonal skills, with the ability to build strong relationships with healthcare providers Strong analytical and problem-solving skills, with the ability to interpret data and develop actionable solutions Skills and Competencies To excel in this role, you will need to possess: Strong communication and interpersonal skills, with the ability to build trust and rapport with healthcare providers Excellent analytical and problem-solving skills, with the ability to interpret data and develop actionable solutions Strong organizational and time management skills, with the ability to prioritize tasks and manage multiple projects simultaneously Ability to work independently and as part of a team, with a strong focus on collaboration and teamwork Strong attention to detail, with a focus on accuracy and quality Career Growth and Development At our organization, we are committed to supporting the growth and development of our employees. As a Telecommute Healthcare Advocate, you will have access to a range of training and development opportunities, including: Comprehensive onboarding program, with training and support to ensure your success in the role Ongoing training and development opportunities, including workshops, webinars, and conferences Opportunities for career advancement, with a clear path for professional growth and development Recognition and reward programs, with bonuses and incentives for outstanding performance Work Environment and Company Culture Our organization is committed to creating a positive and supportive work environment, with a strong focus on employee satisfaction and well-being. As a Telecommute Healthcare Advocate, you will be part of a dynamic and collaborative team, with a culture that values: Integrity, with a strong focus on ethics and compliance Respect, with a commitment to diversity and inclusion Innovation, with a focus on creativity and problem-solving Teamwork, with a collaborative and supportive approach to work Compensation and Benefits We offer a competitive compensation package, with a salary range that reflects your experience and qualifications. In addition to your salary, you will also be eligible for a range of benefits, including: Comprehensive health insurance, with medical, dental, and vision coverage 401(k) retirement plan, with company match Paid time off, with vacation, sick leave, and holidays Flexible work arrangements, with the ability to work from home and set your own schedule Conclusion If you are a motivated and compassionate individual looking for a new challenge in the healthcare industry, we encourage you to apply for this exciting opportunity. As a Telecommute Healthcare Advocate, you will have the chance to make a meaningful impact on the lives of Medicare Advantage Members, while working with a dynamic and supportive team. Don't miss out on this opportunity to unlock your potential and take your career to the next level. Apply today and join our team of dedicated healthcare professionals! Apply now and take the first step towards a rewarding and challenging career as a Telecommute Healthcare Advocate! 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