UnitedHealth Group-posted 7 months ago
$16 - $33/Yr
Full-time • Entry Level
Remote • Oxnard, CA
Insurance Carriers and Related Activities

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

  • Provide direct support to network providers, staff and administrators related to HEDIS & IHA Quality Measures as well as RISK adjustment programs
  • Responsible for training in network primary care provider including staff
  • Training related to quality measure specifications and computation engine portal (COZEVA) for the purpose of managing and closing quality metrics
  • In-Office/virtual trainings as required by client
  • Attend health plan meetings related to quality and risk management
  • Provide support and share tools available in area of opportunity
  • Assist with health plan-based projects which may include mailing campaigns, training sessions and activities, member outreach (via phone or other methods), etc.
  • Help implement training and development of external providers through education programs
  • Identify gaps in network composition and services to assist network contracting and development teams
  • High School Diploma/GED (or higher)
  • 2+ years of managed care or medical insurance experience
  • 1+ years of experience in a claim, customer service or provider support role
  • Beginner level of proficiency with oral communication skills including telephone etiquette
  • Beginner level of proficiency with MS programs including Excel and Word
  • Access to reliable transportation and valid US driver's license
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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