Senior Clinical Quality Coordinator

UnitedHealth Group • Sandy, UT

127d • $23 - $41 • Onsite

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.

Requirements

• Medical Assistant Certification
• 2+ years working in the Healthcare field
• 2+ years working with programs in HEDIS Quality, Stars, CAHPS/HOS experience
• Experience working directly with clinicians, provider practices and/or care delivery network experience with Medicaid, Medicare or other public programs
• MS Office skills

Responsibilities

• Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps
• Partner with operations and physician leadership to determine the best strategies to support the practice of our members ensuring that recommended preventative health screenings are completed and HEDIS gaps in care are addressed.
• Conduct outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
• Answer inbound calls from members and/or providers regarding appointments, gaps in care, and customer needs
• Lead process improvement projects and implement workflow interventions to support quality performance for our risk lives
• Work onsite at clinic locations daily to report out/address deficiencies on HEDIS performance to providers, management and clinical support staff
• Identify and seek out opportunities within one's own workflow to improve efficiency

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: No Education Listed