227 Healthcare jobs in Sanger

Healthcare Clinic Coordinator, LVN WellMed at Live Oak, Dallas, TX at Optum summary:

The Healthcare Clinic Coordinator at WellMed in Dallas, TX, acts as an LVN Health Coach supporting chronic disease management and patient empowerment through education, motivational interviewing, and care coordination. This role involves collaborating with multidisciplinary teams to provide care for patients with high-risk conditions such as CHF, diabetes, COPD, and IHD, ensuring adherence to clinical guidelines and facilitating referrals and transitions of care. The position requires clinical skills including minor procedures, data documentation, and continuous education to improve patient outcomes within a preventative healthcare model focused on seniors.

WellMed, part of the Optum family of businesses, is seeking a Healthcare Clinic Coordinator to join our team in WellMed at Live Oak, Dallas, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together

The LVN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The LVN Health Coach will interact and collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The LVN Health Coach will assist in providing patient empowerment through the use of motivational interviewing skills, problem solving, and self-management goal setting.

Primary Responsibilities:

• Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed
• Contacts and performs initial interviews with patients who are in need of health coaching programs
• Conducts Chronic Care Model visits and reviews the patient’s informal and formal support systems, focusing on what patients want to improve and educating them about their chronic disease
• Provide necessary coaching to reduce or eliminate behaviors that are considered high-risk
• Identify the required goals that each patient must fulfill and advice feasible options for achieving goal
• Ensure that patients are made aware of health issues, concerns and the way in which one could combat them
• Must raise awareness about the different available exercises, weight loss programs and other dietary requirements necessary for a healthy lifestyle
• Utilizes appropriate motivational interviewing techniques necessary for coaching and assisting the patient to complete a self-management goal/action plan
• Must be able to provide a chart of habits and lifestyle changes that are imperative for the improvement of the concerned patient’s health
• Enters timely and accurate data into the electronic medical record to communicate patient needs and to ensure complete documentation of patient visits and phone calls. Tracks self-management goal outcomes and documents in electronic medical record
• Maintains current knowledge regarding CHF, IHD, COPD/asthma and diabetes as well as related treatments and complex medications
• Assists, initiates referrals, and coordinates transitions of car regarding hospitalization follow-up, palliative care, hospice, etc.
• Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians
• Attends educational offerings to keep abreast of change and complies with licensing requirements, ensures all patient educational materials are up-to-date, and maintains knowledge of specialty and ancillary provider contract contents, to include exclusions and contract terms
• Conducts clinic one-on-one visits with Disease Management Chronic Care Program participants, utilizing the Chronic Care Model, to assess patient needs for DME, home health, value-added services and any other necessary resources. Communicates these needs to the appropriate person (i.e. Social Worker, clinic staff, etc.) or addresses them per process
• Collaborates with the nurse manager to recommend policies, procedures and standards which affect the care of the patient with high-risk chronic disease diagnoses such as CHF, IHD, COPD/asthma and diabetes
• Performs all other related duties as assigned. i.e. IV Insertion with hydration fluid administration, wound care, dressing changes, suture removal, insertion and removal of urinary catheters, and etc.

This is a clinic base position located in Richardson, TX.

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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 GED
• Licensed Vocational Nurse with a current license to practice in the state of employment
• 2+ years experience in a physician’s office, clinical or hospital setting
• Cardiac, medical-surgical and/or critical care experience
• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• Proficient knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
• Proficient computer skills, including Microsoft Word, Excel, Access and Outlook
• Driver’s License and access to a reliable transportation
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Preferred Qualifications:

• 5+ years of experience in a physician’s office, clinical or hospital setting
• Bilingual Spanish skillset
• Knowledge of managed care, referral processes, claims and ICD-9 and CPT coding
• Proven excellent verbal and written skills
• Proven ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent organizational and prioritization skills

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords:

chronic disease management, licensed vocational nurse, health coaching, patient education, motivational interviewing, care coordination, chronic care model, preventive healthcare, disease management, patient advocacy

Join a Company That Puts People First!

Registered Nurse – RN

Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office:  

Schedule: 7a-7p (3-4 work shifts/Thur, Fri, Sat, Sun, Mon)

Location/Setting: 76208

Age Range: Child 

Acuity:  Feeding tube, Tracheostomy, Vent & Med Admin

Award-Winning Culture

• Indeed’s Work Wellbeing Top 100 Company in 2024
• Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably

Why Join Us?

• Health, Dental, Vision and Company-Paid Life Insurance
• Paid Time Off Available
• Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability! 
• 24/7 Local support from operators and clinicians
• Aveanna has a tablet in each patient’s home allowing for electronic documentation
• Career Pathing with opportunities for skill advancement
• Weekly and/or Daily Pay
• Employee Stock Purchase Plan with 15% discount
• Employee Relief Fund

*Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader .

Qualifications    

• Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice
• Compact licenses must be transferred to your state of residence within 90 days   
• Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.
• TB skin test (current within last 12 months)   
• Six months prior hands-on nursing experience preferred but not required   
• Must have reliable transportation   

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.   

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Join a Company That Puts People First!

Registered Nurse – RN

We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart:

We currently have patients and openings in:

• Lewisville
• Little Elm
• Surrounding Areas

Award-Winning Culture

• Indeed’s Work Wellbeing Top 100 Company in 2024
• Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably

Why Join Us?

• Health, Dental, Vision and Company-Paid Life Insurance
• Paid Time Off Available
• Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability! 
• 24/7 Local support from operators and clinicians
• Aveanna has a tablet in each patient’s home allowing for electronic documentation
• Career Pathing with opportunities for skill advancement
• Weekly and/or Daily Pay
• Employee Stock Purchase Plan with 15% discount
• Employee Relief Fund

*Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader .

Qualifications    

• Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice
• Compact licenses must be transferred to your state of residence within 90 days   
• Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.
• TB skin test (current within last 12 months)   
• Six months prior hands-on nursing experience preferred but not required   
• Must have reliable transportation   

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.  

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Join a Company That Puts People First!

Registered Nurse – RN

Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office:  

Schedule: 7a-7p (3-4 work shifts/Thur, Fri, Sat, Sun, Mon)

Location/Setting: 76208

Age Range: Child 

Acuity:  Feeding tube, Tracheostomy, Vent & Med Admin

Award-Winning Culture

• Indeed’s Work Wellbeing Top 100 Company in 2024
• Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably

Why Join Us?

• Health, Dental, Vision and Company-Paid Life Insurance
• Paid Time Off Available
• Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability! 
• 24/7 Local support from operators and clinicians
• Aveanna has a tablet in each patient’s home allowing for electronic documentation
• Career Pathing with opportunities for skill advancement
• Weekly and/or Daily Pay
• Employee Stock Purchase Plan with 15% discount
• Employee Relief Fund

*Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader .

Qualifications    

• Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice
• Compact licenses must be transferred to your state of residence within 90 days   
• Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.
• TB skin test (current within last 12 months)   
• Six months prior hands-on nursing experience preferred but not required   
• Must have reliable transportation   

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.   

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Join a Company That Puts People First!

Registered Nurse – RN

Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Here are some of the details of this case, more can be discussed by applying or contacting the local office:  

Schedule: Monday-Friday (10pm-6am)

Location/Setting:   Litltle Elm, TX 75068

Age Range: Teenager

Acuity:  Hig Acuity (tracheostomy and ventilator training available)

Award-Winning Culture

• Indeed’s Work Wellbeing Top 100 Company in 2024
• Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably

Why Join Us?

• Health, Dental, Vision and Company-Paid Life Insurance
• Paid Time Off Available
• Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability! 
• 24/7 Local support from operators and clinicians
• Aveanna has a tablet in each patient’s home allowing for electronic documentation
• Career Pathing with opportunities for skill advancement
• Weekly and/or Daily Pay
• Employee Stock Purchase Plan with 15% discount
• Employee Relief Fund

*Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader .

Qualifications    

• Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice
• Compact licenses must be transferred to your state of residence within 90 days   
• Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.
• TB skin test (current within last 12 months)   
• Six months prior hands-on nursing experience preferred but not required   
• Must have reliable transportation   

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.   

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

WellMed, part of the Optum family of businesses, is seeking a Healthcare Clinic Coordinator to join our team in WellMed at Live Oak, Dallas, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together

The LVN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The LVN Health Coach will interact and collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The LVN Health Coach will assist in providing patient empowerment through the use of motivational interviewing skills, problem solving, and self-management goal setting.

Primary Responsibilities:

• Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed
• Contacts and performs initial interviews with patients who are in need of health coaching programs
• Conducts Chronic Care Model visits and reviews the patient’s informal and formal support systems, focusing on what patients want to improve and educating them about their chronic disease
• Provide necessary coaching to reduce or eliminate behaviors that are considered high-risk
• Identify the required goals that each patient must fulfill and advice feasible options for achieving goal
• Ensure that patients are made aware of health issues, concerns and the way in which one could combat them
• Must raise awareness about the different available exercises, weight loss programs and other dietary requirements necessary for a healthy lifestyle
• Utilizes appropriate motivational interviewing techniques necessary for coaching and assisting the patient to complete a self-management goal/action plan
• Must be able to provide a chart of habits and lifestyle changes that are imperative for the improvement of the concerned patient’s health
• Enters timely and accurate data into the electronic medical record to communicate patient needs and to ensure complete documentation of patient visits and phone calls. Tracks self-management goal outcomes and documents in electronic medical record
• Maintains current knowledge regarding CHF, IHD, COPD/asthma and diabetes as well as related treatments and complex medications
• Assists, initiates referrals, and coordinates transitions of car regarding hospitalization follow-up, palliative care, hospice, etc.
• Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians
• Attends educational offerings to keep abreast of change and complies with licensing requirements, ensures all patient educational materials are up-to-date, and maintains knowledge of specialty and ancillary provider contract contents, to include exclusions and contract terms
• Conducts clinic one-on-one visits with Disease Management Chronic Care Program participants, utilizing the Chronic Care Model, to assess patient needs for DME, home health, value-added services and any other necessary resources. Communicates these needs to the appropriate person (i.e. Social Worker, clinic staff, etc.) or addresses them per process
• Collaborates with the nurse manager to recommend policies, procedures and standards which affect the care of the patient with high-risk chronic disease diagnoses such as CHF, IHD, COPD/asthma and diabetes
• Performs all other related duties as assigned. i.e. IV Insertion with hydration fluid administration, wound care, dressing changes, suture removal, insertion and removal of urinary catheters, and etc.

This is a clinic base position located in Richardson, TX.

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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 GED
• Licensed Vocational Nurse with a current license to practice in the state of employment
• 2+ years experience in a physician’s office, clinical or hospital setting
• Cardiac, medical-surgical and/or critical care experience
• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• Proficient knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
• Proficient computer skills, including Microsoft Word, Excel, Access and Outlook
• Driver’s License and access to a reliable transportation
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Preferred Qualifications:

• 5+ years of experience in a physician’s office, clinical or hospital setting
• Bilingual Spanish skillset
• Knowledge of managed care, referral processes, claims and ICD-9 and CPT coding
• Proven excellent verbal and written skills
• Proven ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent organizational and prioritization skills

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Requires healthcare claims analysis and reimbursement. Also requires experience with healthcare claims coding (DRG, ICD-10, CPT-4).

Primary Purpose Parkland Community Health Plan's (PCHP's) Payment Integrity Analyst conducts analysis of claims and payment data across the health plan in support of ensuring payment integrity and cost containment. Identifies anomalous utilization patterns, investigates potential fraud, waste, or abuse, and ensures compliance with regulatory and contractual agreements. The analyst will reconcile and validate claims data, test the integrity of utilization and payment information, and support corrective action plans in coordination with internal departments and external vendors.

Minimum Specifications

Education

Bachelor's degree in business administration, finance, healthcare, or a related field is required.

Experience

Three (3) years of experience in payment integrity, claims analysis, or auditing within a healthcare setting.

Experience with claims coding (DRG, ICD-10, CPT-4) required.

Proficiency in SQL required.

Experience with behavioral health claims is a plus.

Experience working with TMHP claims and Medicaid regulatory requirements is preferred

Skills or Special Abilities

Expertise in Texas Medicaid regulations, claims processes, and reimbursement methodologies.

Strong analytical and problem-solving skills with a focus on cost containment.

Ability to write, troubleshoot, and optimize SQL queries for data extraction and reporting.

Excellent communication skills for collaboration with cross-functional teams.

Ability to interpret healthcare financial data and detect anomalies.

Strong organizational skills with the ability to manage multiple projects and deadlines.

High attention to detail and accuracy in data reconciliation and reporting.

Ability to work under general supervision while proactively identifying issues and proposing solutions.

Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.

Responsibilities

Operations Collaborates with internal and external stakeholders to gather, analyze, and document claims and payment data. Conducts audits and reviews of claims and payments to identify discrepancies, overpayments, underpayments, and potential fraud. Prepares detailed reports of findings and recommends corrective actions or process improvements. Analyzes trends and emerging issues in payment accuracy and proposes strategies to mitigate risks. Develops, implements, and maintains tools and processes to support ongoing payment integrity monitoring. Interprets and understands unfamiliar data schemas to support claims analysis. Supports data formatting, validation, and error remediation to improve claims accuracy. Communicates findings, analysis, and documentation to cross-functional teams and leadership. - Regulatory Ensures work is carried out in compliance with applicable laws, regulatory, policies, and/or accreditation standards as well as contractual requirements. - Quality Identifies ways to improve work processes and enhance customer satisfaction. Integrate health literacy principles into all communication including Members and Providers. Support strategies that meet clinical, quality and network improvement goals. Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. - Professional Accountability Promotes and supports a culturally welcoming and inclusive work environment. Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Adheres to hybrid work schedule requirements. Attends required meetings and town halls. Recognizes and communicates ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee¿s position, qualifications, and competencies.

#LI-SS2

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.