Quality Analyst

UnitedHealth GroupSumter, SC
$18 - $32Hybrid

About The Position

Optum is seeking a Quality Analyst to join their growing team. At Optum, they are transforming healthcare nationally while providing physician-led care locally. This role is with the largest care delivery organization in the world. The work involves connecting people with the care, pharmacy benefits, data and resources they need to live healthier lives. The culture is guided by diversity and inclusion, with opportunities for career development and comprehensive benefits. The role aims to improve health outcomes and advance health equity on a global scale.

Requirements

  • High School Diploma/GED
  • Active medical assistant certification (CMA, CCMA, NCMA, or RMA) or nursing assistant certification (CNA)
  • 1+ years in a medical office
  • Experience with EMR
  • Experience with medical terminology
  • Previous experience in the medical field
  • 1 + years of computer proficiency to include understanding excel spreadsheets

Nice To Haves

  • Experience with electronic medical records (ECW)
  • 1+ year working of clinical experience
  • 1+ year customer service experience
  • Knowledge of insurance carriers and managed care plans
  • Knowledge of medical terminology

Responsibilities

  • Review, research and assist clinical staff with setting up documents and monitoring quality metrics
  • Be efficient, productive, and thorough dealing with member's charts
  • Meet established productivity, schedule adherence and quality standards while maintaining good attendance
  • Work with the team to solve complex problems
  • Prioritize, multi-task, and work in a team-oriented environment
  • Perform 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
  • Participation in a 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
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