Performance Analyst

UnitedHealth Group • San Diego, CA

1d • $24 - $43 • Hybrid

About The Position

As a Performance Analyst, you will be a member of the Performance and Risk Adjustment team. Conducts chart review to code for diagnoses and quality. Monitors performance and participate in improvement initiatives in conjunction with Provider Relations, health plans, and providers. This is a hybrid role, requiring onsite training for about 3-4 weeks upon hire and onsite attendance about 1-2 times monthly. Candidate must reside in Southern California and be willing and able to travel to San Diego office. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

Requirements

• Coding certifications from either AHIMA or AAPC
• 2+ years of experience in the healthcare industry
• 1+ years of experience working with CPT and ICD-10 codes and reading claims forms/reports
• Access to reliable transportation and the ability to come onsite to San Diego office, as needed

Nice To Haves

• Based in San Diego, CA
• Knowledge of HEDIS
• Knowledge of managed care concepts and healthcare delivery systems
• Understanding of health insurance industry and products
• Solid computer literacy, including competence with database and spreadsheet programs
• Microsoft Office products familiarity
• Demonstrated ability to work with changing priorities and varying deadlines
• Proven excellent organizational and interpersonal skills
• Proven organized self-starter with good follow-through

Responsibilities

• Generates reports for department workflow, production, quality monitoring and performance improvement
• Participates in formulating improvement initiatives/solutions and assists with execution
• Reviews AWVs and other charts for HCC diagnoses and quality codes and processes them into tracking programs
• Recommends training opportunities and participates in provider training as needed
• Audits and interfaces with outside coding vendors
• Participates in webinars, conferences and conducts research as needed to stay abreast of IHA/NCQA/CMS requirements
• Serves as the user expert for software systems
• Audits software accuracy from time to time and participates in testing
• Attends user meetings and reports systems issues to the vendor
• Tracks and submits audit data for program compliance
• Performs other duties as assigned

Benefits

• Competitive base pay
• Full and comprehensive benefit program
• Performance rewards
• Paid Time Off which you start to accrue with your first pay period
• 8 Paid Holidays
• Medical Plan options
• Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance
• Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan
• Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed