Quality Performance Medical Assistant

UnitedHealth Group•Irvine, CA

2d•$16 - $29

About The Position

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 to start Caring. Connecting. Growing together. The Quality Performance Medical Assistant is responsible to support data-driven strategies and workplans that improve the health, well-being, and quality of care and service received by our Medi-Cal members, as demonstrated by high quality measure performance. This role will collaborate with internal and external key stakeholders, regional operations, IPA practices, FQHCs, and other community partners, to drive clinical relationships and engagements between members and their care delivery system. This focus of this role is Medi-Cal quality metric performance, which may include but is not limited to HEDIS and CMS Measure gap closure, and CAHPS/HOS patient experience performance. The ideal candidate will be: Self-directed, able to manage multiple priorities, and coordinate complex cross-functional project plans, in order to drive execution of PI strategies Accountable for improvement on HEDIS and STARs gap closure, improved patient experience and optimized patient outcomes Skilled at utilizing data to drive decisions, and has a passion for applying technology to achieve systematic solutions Passionate about continuous improvement, streamlined processes and workflow optimization Energized by new challenges, thrives in a fast-paced, dynamic environment, collaborates well in a team-oriented atmosphere

Requirements

Medical Assistant certified, with ability to draw patient labs and take Blood Pressure
1+ years working with programs in HEDIS Quality, Stars, CAHPS/HOS experience
Verbal fluency in Spanish
Experience with managed healthcare / care delivery business operations
Prior experience working directly with clinicians, provider practices and/or care delivery networks
Intermediate MS Office skills
Valid CA Driver's license, current insurance and reliable transportation to local provider offices

Nice To Haves

Provider office administrative or call center experience
Experience with Technology-based Solutions (EHRs, IVR, Texting Applications, etc.)
Excellent communication skills

Responsibilities

Supports quality performance measures (e.g., HEDIS, CMS, CAHPS) by engaging members assigned to targeted practices and supporting their improvement workplans
Ensures member outreach programs are successfully executed in a timely manner
Supports data reconciliation between clinical practices and Optum internal quality reporting through chart review and supplemental data entries
Supports programs integrating in-office embedded and wrap-around support including but not limited to blood pressure checks, lab draws, patient scheduling, chart reviews, targeted mailings and IVR campaigns, workflow optimization and visible performance tracking
Collaborates and aligns strategies with other regional support teams (e.g., Provider Relations and Population Health)
Maintains performance tracking related to assigned projects to ensure timely and accurate execution and required documentation; uses performance reports to track and trend progress
Participates in required meetings related to Medi-Cal Pay for Value (P4V) performance, measure updates, etc.
Stays informed on all member outreach activities and communication schedules
Supports continuous performance improvement through research and testing of new initiatives to assess success and scalability
Provides continuous feedback to manager and team on performance, barriers, opportunities, and action plans for all assigned practices
Other duties as assigned