Top Clinical Outcomes Executive designs studies that evaluate clinical outcomes data and uses the results of these studies to develop clinical process improvement initiatives. Defines performance metrics to review program effectiveness, balancing clinical and financial concerns. Being a Top Clinical Outcomes Executive evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Requires a bachelor's/master's degree, current RN license. Additionally, Top Clinical Outcomes Executive typically reports to top management. The Top Clinical Outcomes Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. Comprehensive knowledge of the overall departmental function. To be a Top Clinical Outcomes Executive typically requires 8+ years of managerial experience. (Copyright 2024 Salary.com)
JOB SUMMARY
The Operations and Clinical Claims Specialist is responsible for supporting the Revenue Cycle Management (RCM) operations, onboarding of client programs and process improvement while collaborating on strategic projects.
ESSENTIAL DUTIES & RESPONSIBILITIES
Revenue Cycle Management - Clinical Claims
Operational Analysis and Process Implementation
Subject matter expert on all product offerings
KNOWLEDGE & REQUIREMENTS
What is expected of you and others at this level
Preferred Qualifications
EDUCATION & EXPERIENCE REQUIREMENTS
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.