Risk Quality Management Associate - Hybrid

UnitedHealth Group•Worcester, MA

1d•$20 - $36•Hybrid

About The Position

Under the direction of the Senior Manager, Risk Management, Optum Massachusetts, the Risk & Quality Management Associate provides day-to-day risk management and patient safety support across all Optum Massachusetts sites. Performs a variety of duties related to data input, analysis, trending and tracking of claims and risk management information. Performs a variety of duties involving multiple high-level administrative projects. Assist managers or others in administrative functions. Has frequent contact with the public and high-level staff personnel on matters requiring tact and knowledge of department policies and procedures.

Requirements

3+ years of secretarial/administrative support experience, preferably in a Healthcare setting
Experience and expertise in public speaking
Working knowledge of graphics
Ability to work on Site at 385 Grove Street, Worcester, MA at least twice per week
Solid automated spreadsheet skills (ability to set-up worksheets and formal data)
Advanced word processing skills (ability to enter and manipulate complex, difficult and non-routine text or numerical date)
Demonstrated ability to review and synthesize data and present data and strategy to a large group of diverse individuals
Demonstrated ability to prepare spreadsheets including financial data and be able to determine when it is appropriate to use Excel, PowerPoint or Word
Driver’s License and access to reliable transportation

Nice To Haves

Background in healthcare

Responsibilities

Establish and lead an atmosphere of Just Culture
Actively promotes and utilizes the safety event reporting system (RLDatix) for adverse events, including near misses, occurring at all Optum Massachusetts sites
Conducts data aggregation and analyses to assess performance improvement opportunities and measure improvements
Reviews insurance carrier information and reports to outside healthcare entities requesting malpractice insurance coverage verifications
Assists with developing warning and termination letters for patients as directed
Collects, evaluates and distributes relevant data concerning patient injuries; aggregate data summaries, monthly/quarterly trends; provides aggregate analysis of risk data and trending of losses, etc.
Assist in the maintenance of Peer Review files consisting of claims, suits, PCEs, and patient complaints for each practitioner
Performs various administrative functions for managers or others to relieve him/her of responsibility and detail
Prepares and submits requisitions for supplies, equipment or maintenance service with appropriate signatures
Prepares and distributes notices of correspondence to all Managers, Supervisors, Directors and Physician Leadership
Prepares, copies and maintains records of correspondence, takes telephone messages, schedules appointments and meetings, supplies routine answers where possible, and places outgoing telephone calls
Engages in extensive contact with all levels of personnel in a professional and confidential manner. Promptly and courteously receives all visitors to the department
Maintains files and records usually of a highly confidential nature
Prepares minutes of meetings, memos, and letters as required
Works within established policy, precedent and guidelines. Work is broad, varied and complex
Involves ownership of ongoing projects or one-of-a-kind tasks. Requires multi-tasking. Will need to be resourceful and track down information to find answers or solve problems and make decisions. Expected to create efficiencies and streamline processes as required
Establishes own work plan and prioritizes, using and/or modifying established procedures, to ensure timely completion of assigned work in conformance with established departmental policies and standards; problems lacking clear precedent are usually reviewed with supervisor prior to taking action
Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
Complies with established departmental policies, procedures, and objectives
Enhance professional growth and development through educational programs, seminars, etc.
Attends a variety of meetings, conferences, and seminars as required or directed
Performs other similar and related duties as required or directed
Regular, reliable and predicable attendance is required