Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This position will work directly with our Quality and Risk Adjustment market-based teams and providers with both our employed and contracted providers in the respective market position are assigned. The Practice Support Unit (PSU) Logistical Support Coordinator is responsible for the coordination and completion of PSU events/visits across various functional areas. Provides subject matter expertise in areas including PSU events/visit scope definition, event logistics, resource allocation, facilitation, reporting, and other areas of expertise based on established logistical coordination techniques. Makes presentations to management, internal and external customers on event updates, barriers, successes and expected results. Ensures PSU events/visits are processed, completed and tracked on time and in scope. Delivers quality customer service and maintains established quality control standards. This position will be held accountable for the following metrics % of appointments schedule, % of event requests processed, # of Gaps Closed, Post Audit/Reporting accuracy/audits complete, overall, 5 Star rating for HMO products, and to achieve other assigned POD goals/metric objectives as assigned. Attend events when necessary.
This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm, Monday – Friday. It may be necessary, given the business need, to work occasional overtime or weekends.
If you are located within commutable distance of our office location at 5130 Sunforest Dr, Tampa, FL, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Coordinate alignment and understanding of PSU events/visits scope and objectives with the organization's strategic objectives and the Voice of the Customer (internal and external). Plan and Coordinate PSU events/visits/initiatives with contracted and employed PCPs. Coordinate and support PSU events/visits/initiatives scope and objectives throughout the event lifecycle, as needed. (before, during and after) Audit and track all PSU events/visits, validation and submission of PRP open/closed gaps. Deliver all test results and progress notes generated by PSU events/visits to contracted and employed PCPs Analyze event’s outcomes and make appropriate recommendations to improve future event requests (e.g., provider and patient satisfaction, lessons learned, team’s member performance) Use ePRG, eCW, CDSS, Productivity Reports to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, Call Lists, Event Summaries, etc. Quality assurance review of submitted forms for PSU Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports) Assist PSR as necessary with outbound calls Cover for Field PSU Data Mining events when necessary Create, update and maintain accurate patient profiles in eCW for upcoming and past PSU visits/events Preparation of visit checklist and packets for LPN/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log) Responsible for keeping the overall calendar of all PSU/QRA activities/interventions including any PSU events/visits/initiatives Ensure weekly reporting of activities of all PSU staff is accurate and timely Responsible for ensuring all Requests are coordinated, sourced and staffed appropriately Coordinate with mobile screening vendor(s) for completion of FOC Coordinate with cross-functional teams any member mailings or customized calling scripts that are necessary to support QRA PSU efforts Conduct post audits and ensure all submitted gap measure were capture by corporate team (e.g. no longer pink in pink box) Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively. Identify training opportunities for staff based on post audits and report findings to direct manager. Ensure that new/revised business processes/procedures are documented/updated/approved, as needed (e.g., process flows, SOPs, job aids, training guides) All other duties as assigned.
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 / GED Must be 18 years of age OR Older 2+ years of experience with tracking data, working with large data sets, and making data-driven analytical decisions Proficiency with Microsoft Office (Excel, Word, and PowerPoint) Reliable transportation as you may need to attend a Wellness event on occasion in the local market Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm, Monday – Friday. It may be necessary, given the business need, to work occasional overtime or weekends
Preferred Qualifications:
Familiarity with HEDIS and STAR measures ICD 10 and CPT coding experience Bilingual (English/Spanish) Working knowledge of medical office procedures and medical terminology
Telecommuting Requirements:
Reside in a commutable distance to 5130 Sunforest Dr, Tampa FL as you may need to participate in a quarterly onsite meeting Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft skills:
Ability to work in a fast-paced environment on multiple events with tight deadlines while paying close attention to the details of all the deliverables Articulate and able to communicate with peers internal and external to the organization Keen judgment and collaborative problem-solving skills Ability to handle confidential and sensitive data with discretion Time management, organizational, and prioritization skills and ability to balance multiple priorities Be flexible and adaptable to change
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C., Maryland Residents Only: The hourly range for this role is $16.54 to $32.55 per hour. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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