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For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

Primary Responsibilities:

• Data mining to close care gaps
• Assists with coordination review with group Medical Director and local UM staff, as indicated
• Performs site and medical record audits as indicated
• Supports IPA activities related to P4P, 5 STAR, and HEDIS initiatives
• Accurately uses data base for documentation, tracking and trending
• Maintains organized hard copy records & files
• Maintains all QI resources for interdepartmental use
• Informs ancillary departments of new and existing policies and changes
• Able to problem solve and make decisions independently
• Participates in a team environment supporting and respecting all members, encouraging achievement of group goals
• Meets all health plan contract compliance directives for quality (i.e. access audits, focused audits, quarterly/annual reporting)
• Maintains ongoing communication and feedback with customers and/or clients in order to support needs and resolve problems
• Supports all health plan requests in a timely manner
• Assists nurse personnel with preparation for IPA Peer Review Committee in conjunction with QI Chairperson/ Medical Director
• Positive and productive participant on teams and committees
• Communicates activities and progress of assigned committees and teams to Manager and appropriate staff
• Other duties as assigned
• Provide Medical Assistant support
  

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 education or equivalent experience
• Certified Medical Assistant
• 1+ years of experience with healthcare data mining and reporting
• Proficient/ experienced with Microsoft programs
  

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment