Transform Healthcare with Optum: Join Our Team as a Clinical Practice Performance Coordinator
At Optum, a global organization and a subsidiary of UnitedHealth Group, we're on a mission to help people live healthier lives and make the health system work better for everyone. We're committed to advancing health equity on a global scale by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. As a Clinical Practice Performance Coordinator, you'll play a vital role in supporting our local quality and provider teams, driving improvements in healthcare outcomes, and enhancing the overall patient experience.
About the Role
This is a full-time remote opportunity, available to candidates residing in New Hampshire or Maine. As a Clinical Practice Performance Coordinator, you'll work closely with our medical centers and physician practices to manage high-volume UnitedHealthcare Medical & Retirement membership. Your primary focus will be on improving health outcomes, optimizing customer satisfaction, and driving productivity.
Key Responsibilities
- Assist in reviewing medical records to identify Star opportunities for medical staff, involving data collection, data entry, quality monitoring, and chart collection activities.
- Locate medical screening results and documentation to ensure quality measures are followed, and gaps in care are closed.
- Track appointments and document information accurately in our supported systems, ensuring timely and efficient data management.
- Partner with leadership teams and practice staff to develop strategies that support the practice and our members, focusing on preventative health screenings and HEDIS gap closures.
- Interact with UnitedHealthcare members via telephone to assist with scheduling appointments, closing gaps in care, and addressing chart collection activities.
- Communicate scheduling challenges and trends that may impact quality outcomes, demonstrating proactive behavior in addressing customer needs.
- Provide ongoing support and education to team members, helping to remove barriers in care and drive productivity.
- Manage your time effectively to meet productivity goals, working independently in a virtual setting with minimal supervision.
- Analyze data from multiple system platforms to identify quality opportunities and address them on a member or provider level.
- Participate in department campaigns to improve overall quality improvements within measure star ratings or contracts.
- Perform other duties as assigned, demonstrating flexibility and a willingness to adapt to changing priorities.
Essential Qualifications
- High School Diploma or equivalent (GED).
- At least 1 year of experience in the healthcare industry.
- Proficiency in Microsoft Tools, including Word, Outlook, and Excel, with the ability to create, edit, and analyze documents and reports.
- Knowledge of HIPAA compliance requirements and the ability to maintain confidentiality.
- Flexibility to work any 8-hour shift schedule during normal business hours (8:00 am - 5:00 pm, Monday - Friday), with occasional overtime as needed.
Preferred Qualifications
- 1+ year of experience in a physician, provider, or medical office setting.
- 2+ years of telephonic customer service experience.
- EMR and HEDIS knowledge and experience.
- Familiarity with medical terminology.
- Prior experience as a Medical Assistant or LPN.
- Typing speed of at least 45-50 WPM.
Telecommuting Requirements
- Reside in New Hampshire or Maine.
- Ability to maintain company-sensitive documents securely.
- Dedicated work area that is separate from living areas and provides information privacy.
- Access to a UnitedHealth Group-approved high-speed internet connection.
Soft Skills
- Demonstrated ability to empathize with customers, understand their needs, and align with their realities.
- Effective active listening skills to develop trust and respect with customers.
- Self-motivation and internal drive to accomplish goals and recognize what needs to be done to achieve them.
- Ability to turn situations around and go above and beyond to meet customer needs.
- Good attendance record and adherence to UnitedHealth Group's Telecommuter Policy.
What We Offer
At Optum, we provide a comprehensive benefits package, career development opportunities, and a culture guided by diversity and inclusion. As a Clinical Practice Performance Coordinator, you'll have the chance to make a meaningful impact on the communities we serve, advancing health equity and improving health outcomes. You'll also enjoy:
- A competitive salary.
- 4 weeks of on-the-job training to support your success.
- Ongoing development opportunities to enhance your skills and career growth.
- A dynamic and supportive work environment that recognizes and rewards your performance.
Join Our Team
If you're a motivated and detail-oriented professional looking to make a difference in healthcare, we want to hear from you. As a Clinical Practice Performance Coordinator with Optum, you'll be part of a talented team dedicated to improving health outcomes and enhancing the patient experience. Apply now to start your journey with us!
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer, committed to diversity and inclusion. We welcome applicants from diverse backgrounds and perspectives, and we're dedicated to creating a workplace that is inclusive and respectful of all employees.
Ready to take the next step? Apply now and join our team of dedicated professionals making a difference in healthcare.
Apply Now