Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered

Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision making Facilitates communication and coordination among members of the care team Provides patient care to include patient assessment prior to physician's/nurse practitioner's examination, serv

Responsible for researching and resolving payroll tax issues Act as an SME for payroll tax questions and issues, troubleshoot when needed Partner with HR Operations to manage escalated cases related to payroll taxes, including communication directly to employees based on their individual situation, as well as outside tax vendors/organizations Responsible for running queri

Manage the installation of assigned accounts and direct structure building and billing set up Oversee overall employer contract loading using various databases and/or source documents Research installation issues and develop customers specific solutions Audit contract loads for adherence to quality measures and reporting standards Manage and be accountable for employees a

Contribute to strategic projects, ETL design and architecture, performance tuning activities, etc Responsible for supporting the architecture and design of the data warehouse, data marts and BI reports which will support various data initiatives Development of ETL code with our current toolset, Informatica, PL/SQL, Snowflake Stored Procedures, Azure Data Factory Perform a

Program Administration Collaborates with key university departments (Registrar, Bursar, IT Services, University Communications and Marketing, Health Services. Student Life, etc.) to ensure processes pertaining to the SHIP are as smooth and seamless as possible throughout the insurance plan year. Regularly assesses and facilitates the implementation of the annual online st

Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati

Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Co

Key Agent/Agency Performance Agent Development Mentor, coach and engage key agents/agencies through ongoing business and strategy planning. This includes identifying sales opportunities, product positioning, UHC tools, UHC value proposition, compliance, and market education Onboarding Reach out to new agents identified by the PHD to share UHC learning, growth tools and va

Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered

Build high performance data pipelines from POC to mature algorithmic data cubes Implement automated workflows and routines using workflow scheduling tools Develop set processes for data mining, data modeling, and data production Integrate new data management and engineering tools into existing structures Build and use tools to understand data lineage and eliminate data du

Engage members either face to face or over the phone to have a discussion about their health Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care) Conduct comprehensive member assessment that includes bio psychosocial, functional, and behavioral health needs Utiliz

Clinical Care Management Projects and acts as a Subject Matter Expert Understands and can discuss the Care Management application and implications of changes to clinical process, policies and procedures Healthcare software application configuration Assess, interpret, and analyze customer needs and requirements Provide analytical support and expertise needed to translate c

Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered

Contribute and oversee strategic projects, ETL design and architecture, performance tuning activities, Code Reviews, and Best Practices Responsible for approving and certifying the architecture and design of the data warehouse, data marts and BI reports which will support various data initiatives Supervision of development of ETL code with our current toolset, Informatica