Overview
Work History
Education
Skills
Timeline
Generic

Natalie Levy

Lagrange,OH

Overview

13
13
years of professional experience

Work History

Provider Engagement Representative

Optum
03.2022 - Current


  • Manages a diverse portfolio of clients, ensuring that each received tailored solutions aligned with their specific requirements.
  • Tracks and share results on provider performance
  • Collaborates with market leadership to identify and submit supplemental providers to enhance network.
  • Coordinate the processing of demographic and provider roster changes submitted by providers.
  • Is resourceful and creative in solving problems that don’t have clear solution or outcomes.
  • Encourages the use of In Network vs. Out of Network providers with targeted SNF s Communicating with others- Is planful and organized with messaging.
  • Schedule and facilitate Provider Engagement Meetings
  • Demonstrates energy for what needs to be done and for overcoming challenges

Health Services Coordinator

Optum
09.2021 - 03.2022
  • Served as a subject matter expert on HEDIS measures, providing guidance and support to internal and external stakeholders as needed.
  • Catalogued patient data in clinical databases and registries according to regulatory practices.
  • Maintained strict confidentiality of patient information, adhering to HIPAA regulations throughout the review process.
  • Ensured timely completion of assigned projects, managing multiple review deadlines simultaneously.
  • Participated in team meetings and ongoing training sessions for professional development purposes, staying current with industry best practices regarding HEDIS measurement standards.
  • Supported healthcare providers in navigating complex regulatory guidelines related to risk adjustment policies and procedures.
  • Contributed to the development and implementation of organizational policies related to risk management, fostering a proactive approach to mitigating potential issues before they arise.
  • Played a key role in driving process innovation by researching industry developments, best practices, and emerging trends related to risk adjustment methodologies.

Certified Medical Assistant

Cleveland Clinic
08.2011 - 09.2021
  • Helped improve patient outcomes by educating and advising on relevant treatments and care.
  • Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
  • Supported successful treatment plans by preparing patients for examinations, discussing treatment options, and providing clear instructions on medication usage.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
  • Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.

Education

Bachelor of Science - Public Health

University of Cincinnatti
2024

Skills

  • Needs Assessment
  • Material Preparation
  • Teaching techniques
  • Presentation Skills
  • Health literacy
  • Health Promotion

Timeline

Provider Engagement Representative

Optum
03.2022 - Current

Health Services Coordinator

Optum
09.2021 - 03.2022

Certified Medical Assistant

Cleveland Clinic
08.2011 - 09.2021

Bachelor of Science - Public Health

University of Cincinnatti
Natalie Levy