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Entry Level, Value Based Program Coordinator, Riverside Medical Group, Secaucus, NJ

Company: UnitedHealth Group
Location: Secaucus
Posted on: November 23, 2021

Job Description:

Riverside Medical Group is the premier medical practice in New Jersey serving patients in Hudson, Bergen, Passaic, Essex, Middlesex, Burlington, and Camden counties. We have over 60 locations and 180 board certified medical providers specializing in Adult Medicine, Pediatrics, ENT, Foot & Ankle, Gastroenterology, Rheumatology, Cardiology, Behavioral Health, Physical Therapy, Allergy & Immunology, Developmental Health, Pain Management, Chiropractic and Optometry.As a National Committee for Quality Assurance "Level III- Patient Centered Medical Home," Riverside is able to provide patient-focused precision medical care to the entire family and is committed to providing patients with the highest quality medical care.In addition to providing the highest quality of care, Riverside offers its patients the best hours of operation of any private practice in the country. Patients have around-the-clock access to a health-care team and have the benefit of same day and walk in appointments. As an advocate for prenatal health and education, Riverside offers prenatal classes every weekend free of charge. Riverside believes in giving back to their community and the patients they serve through health fairs, charitable giving/foundation, and free medical education.As a part of the OptumCare network, Riverside Medical Group is seeking a Value Based Program Coordinator to join our growing team in New Jersey. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm)The Value-Based Program Coordinator is a key member of the Population Health Market Operations team. Critical to the success of this work is the 1) accurate and timely documentation of patient level risk factors, including any existing chronic conditions, inside payer based platforms and 2) identification of services that have been delivered to close outstanding gaps in care on an as needed basis. We are seeking a candidate with the ability to learn how to use these tools by incorporating relevant information from Electronic Medical Record (EMR) systems. Candidates must demonstrate effective time management skills to ensure overall department goals are met. The person in this role is expected to work collaboratively with oher Coordinators on the team and reports to the Value-Based Program Supervisor. Primary Responsibilities:

  • Complete, review and submit risk score capture forms for traditional Medicare, Medicare Advantage and certain Commercial value based programs on corresponding payer platforms
  • Download and transmit to payers relevant supplemental materials from various EMR systems to close outstanding gaps in care for certain clinical measures
  • Participate in annual MIPS Quality reporting
  • Participate in annual PCMH reporting
  • Collaborate with team on adhoc data/record collection throughout the year
  • Collaborate with Market Operations outreach team to engage value-based patients with no record of prior annual wellness visits
  • Other duties, as required You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
    • High School Diploma or equivalency
    • 1+ years in medical office or similar environment
    • Proficient with Microsoft Office applications including Outlook, Word and Excel
    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliancePreferred Qualifications:
      • Bachelor's degree
      • Medical/clinical background
      • Knowledge of electronic medical record systems, Epic software
      • Knowledge of coding abstraction
      • Solid written and verbal communication skills
      • Ability to work independently and to troubleshoot and resolve issues in an expedient manner
      • Effective problem-solving skills and passion for collaborating with others to achieve collective goalsUnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Opportunities with Riverside Medical Group. Discover what it means to be part of a top-rated, premier medical practice with a deep commitment to serving its community for over 35 years. We're also part of the best hospital system in New Jersey and one of the best 50 hospitals in the nation. Riverside Medical Group has over 25 locations in Northern New Jersey, and we deliver quality-focused care to patients of all ages. We recently became part of OptumCare - the health care delivery part of Optum, backed by the scale and resources of the UnitedHealth Group family of companies. Every day we provide the ultimate patient experience through round-the-clock access to health care teams, same day and walk-in appointments, as well as charitable giving and a foundation that supports scholarships and medical research. At Riverside, you'll play an important role in helping people achieve optimal health, and that's just the start. Learn more about career opportunities with Riverside Medical Group, where you can help change the world as you do your life's best work.(sm)Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Value Based Program Coordinator, Secaucus, NJ, New Jersey

Keywords: UnitedHealth Group, New York , Entry Level, Value Based Program Coordinator, Riverside Medical Group, Secaucus, NJ, Healthcare , Secaucus, New York

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