The Senior Data Analyst develops proactive analytics and reports to identify Fraud, Waste, and Abuse (FWA) activity. The role involves monitoring key indicators, managing case management systems, and collaborating across departments to ensure regulatory compliance.
Lucet
6 Remote Job Openings at Lucet
Perform comprehensive virtual health risk assessments for Medicare, Medicaid, and ACA members to identify care needs and support early intervention. Manage a self-directed schedule to deliver empathetic, patient-centered care and maintain accurate clinical documentation.
The Family Support Coordinator provides outreach, assessment, and care coordination for families in the Autism Resource Program. They connect families to clinical and community resources while educating them on benefits and program requirements.
The Engagement Coordinator is responsible for conducting outbound calls to insured members to schedule annual wellness and benefit exams. This includes managing member relationships, coordinating appointments with caregivers, and accurately documenting all interactions.
The Clinician, CCR performs behavioral health utilization management by conducting clinical reviews and determining medical necessity for treatment. They coordinate care between members, providers, and internal teams to ensure effective discharge planning and positive member outcomes.
The Data Informatics Analyst transforms complex clinical and payer datasets into actionable insights to drive data-informed decision-making. They lead analytical initiatives, ensure data quality, and contribute to the evolution of enterprise data architecture.