Senior Provider Utilization Coordinator
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Job Description
Provider Utilization Coordinator optimizing IPA provider schedules for Leidos QTC Health Services. Managing utilization, electronic confirmations, and healthcare operations workflows.
Responsibilities:
- Support VAO operations and providers by maintaining, utilizing, and maximizing electronic scheduling software for Independent Physician Affiliates (IPAs)
- Communicate consistently and effectively with IPA providers and operations
- Utilize reports and tools to communicate IPA provider schedules and escalate information and trends to VAO
- Proactively communicate issues and concerns with IPA provider schedules to VAO leadership teams
- Coordinate with the regional utilization manager on IPA utilization issues
- Build and adjust provider schedules
- Evaluate utilization of dedicated IPA providers
- Prevent gaps and overbooking in providers’ electronic schedules
- Capitalize time slots through communication with operations scheduling staff
- Manage electronic confirmation systems, including eMessenger, Pega Communicator, and ACD, to minimize no-show rates
- Utilize electronic tools and workflows such as ECW, UCM, and eProcess to manage resources
- Prioritize operations and provider requests
- Perform other duties as assigned
Requirements:
- High School diploma, or equivalent (GED)
- 1 to 3 years of experience in a high volume healthcare setting with daily utilization of electronic scheduling software
- Experience utilizing EMR or case management software
- Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
- Monday through Friday schedule with a flexible start time as early as 7am and a shift ending as late as 8pm EST
Benefits:
- Health and Wellness programs
- Income Protection
- Paid Leave
- Retirement
- Comprehensive leave
- Holiday coverage
- Medical coverage
- Dental coverage
- Life coverage
- Accident coverage
- Disability coverage
- Retirement plan contributions
- Other health and welfare benefits and payments
- 3 weeks of training, including recording sessions, Saba modules, shadowing, and mentoring with PUC Leads
- Flexible start time
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