Medical Provider Education Specialist - LHI - La Crosse, WI

Unitedhealth Group Inc. La Crosse , WI 54601

Posted 2 months ago

At Optum, the mission is clear: Help peoplelive heathier lives and help make the health system work better for everyone

LHI is one of 4 businessesunder OptumServe. OptumServe provides health care services and proven expertiseto help federal government agencies modernize the U.S. health system andimprove the health and well-being of Americans.

By joining OptumServe you arepart of the family of companies that make UnitedHealth Group a leader acrossmost major segments in the U.S. health care system.

LHI was founded in 1999 andacquired by Optum in 2011, LHI specializes in creating and managing health careprograms through on-location services, patient-specific in-clinic appointments,telehealth assessments, or any combination based on customer need. LHI'scustomizable solutions serve the diverse needs of commercial customers, as wellas federal and state agencies, including the U.S. Departments of Defense,Veterans Affairs, and Health and Human Services.

There's an energyand excitement here, a shared mission to improve the lives of others as well asour own. Ready for a new path? Start doing your life's best work.

The Medical Provider Education Specialist will be responsible for the following.

Please Note: In order to be considered for thisposition, you must be able to obtain an SF86 Position of Trust which is onlyavailable to U.S. Citizens. Our Facilities Security Officer will initiate thisprocess post-offer acceptance. Failure to obtain this will result intermination from this role.

Primary Responsibilities:

  • Educate, train and retrain providers to perform medical services for the federal government and commercial customers in compliance with current federal regulations and contract requirements.

  • Track and provide documentation on provider performance.

  • Provide corrective feedback on services performed incorrectly or not to clinical standards or contract requirements.

  • Provide initial education and training for provider contacts and medical practitioners telephonically and / or electronically in regard to: examine and provider responsibilities, electronic or paper document completion, service requirements and Provider Portal navigation (includes federal regulation and contract requirement

  • Determine the need for refresher training based on analysis of prior practitioner / provider training's, recent appointment history and any noted issues and / or errors

  • Determine need for corrective training based on analysis of check-listing reports per contract as well as via issues identified by interdepartmental communications and provide corrective training to the appropriate clinical personnel and / or practitioner(s).

  • Answer Medical Provider Education (MPE) department queue line calls for various contracts. Assist with all questions regarding exams and services (both clinical and non-clinical), training completion and portal navigation.

  • Identify issues that require communications with various internal departments to facilitate completion of an order, verify contract requirements, or resolve of contract issue.

  • Research, follow-up and document all information in relation to Unusual Incident Reports (UIRs), customer satisfaction surveys, and customer complaints.

  • Provide communication back to the customer for all resolutions.

  • Provide input as subject matter expert (SME) on items of a clinical nature for numerous areas, such as provider / practitioner calls, creation and updating of training reference documents and eLearning content, and Service member concerns regarding unusual incidents and adverse provider experiences.

  • Process and / or repackage laboratory specimens, inadvertently sent to LHI for processing, to the appropriate testing facility.

Required Qualifications:

  • High School Diploma / GED (or higher)

  • 2 years of experience in a clinical setting

  • Vocational or Technical Training / Education in a Medical related field (examples: Medic, Corpsman, EMT, Medical Assistant, Licensed Practical Nurse (LPN), and / or Licensed Vocational Nurse (LVN)

  • CAC (Common Access Card)

  • Knowledge of medical terminology as well as routine and complex concepts related to medical procedures and protocols

  • Proficient with Microsoft Excel (general spreadsheet navigation and data entry), Microsoft Word (creating and editing documents), and Microsoft Outlook (email and calendar)

  • Ability to travel up to 5% of the time (as required)

  • Flexible availability Monday

  • Friday 7:00 am

  • 5:00 pm with the ability to be on call occasionally on nights and weekends

  • United States Citizenship

  • Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86

Preferred Qualifications:

  • Experience and / or knowledge in regard to audio and vision testing, barometry, immunizations, lab specimen collection from blood draws, urine specimen collection, DOT Urine Specimen, Collection Procedures and Pap smears, EKG, spirometry, Federal Motor Carrier Safety Regulations Advisory Criteria, military medical retention standards, preventive health services / screenings (USPSTF Guidelines)

  • Prior Military experience

  • LPN license or MA certificate

  • Knowledge / experience with adult learning principles

  • Experience working with Learning Management Systems (LMS)

  • Ability to obtain a government clearance

Soft Skills:

  • Must possess high level of verbal and written communication skills, including customer service skills

  • Analytical thinking and teamwork skills

  • Ability to multitask, meet tight deadlines and problem solve in a fast paced environment

  • Excellent time management and organizational skills

  • Ability to work autonomously with minimal direction as well as in a team environment

Careers with LHI. Our focus is simple. We're innovators in cost-effective health care management. And when you join our team, you'll be a partner in impacting the lives of our customers, and employees. We've joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We're located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We're supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity to do your life's best work.

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.

Keywords: medical provider, provider education, trainer, clinical, LPN, RN, EMT, Optum, LHI, La Crosse, WI


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Medical Provider Education Specialist - LHI - La Crosse, WI

Unitedhealth Group Inc.