Field Based Clinical Quality Coordinator - Albuquerque, NM
Company: Optum
Location: Bernalillo
Posted on: September 29, 2024
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Job Description:
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 diversity and inclusion, talented peers,
comprehensive benefits, and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together. -
The Clinical Quality Coordinator will be provider facing and
participate in quality improvement initiatives in their assigned
territory. This position works collaboratively with the market team
in a matrix relationship and is responsible for the collection of
medical records that support HEDIS and Stars activities and quality
improvement initiatives.
This position is full time. Employees are required to have
flexibility to work any of our 8-hour shift schedules during our
normal business hours of 8:00am - 5:00pm. It may be necessary,
given the business need, to work occasional overtime. Our office is
located at Albuquerque, NM.
We offer weeks of on-the-job training. The hours of the training
will be based on schedule or will be discussed on your first day of
employment.
Primary Responsibilities:
Activities include medical record review, data collection, data
entry, quality monitoring, and chart collection activities to close
quality gaps in care and improve Star/HEDIS performance
Partner with the Clinical Quality, Network Management and Risk
Education teams to identify trends and potential strategies to
support assigned practices
Track and trend barriers and challenges that exist within the
assigned territory so that better outcomes can be achieved
Navigate multiple documentation systems (EMRs) and obtain medical
records to improve quality and HEDIS/Star performance
Maintains education/knowledge base of HEDIS/STARs
Performs all other related duties as assigned
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.Required
Qualifications:
Up to 75% local travel and valid NM Driver's License -
Ability to work any of our 8-hour shift schedules during our normal
business hours of 8:00am - 5:00pm.
Preferred Qualifications:
ICD 10 and CPT coding experience
Experience working in a physician, provider, and/or medical
office
EMR and HEDIS knowledge and experience
Physical and Work Environment: -
Ability to lift up to 10 pounds
Ability to push or pull heavy objects
Ability to sit for extended periods of time
Ability to stand for extended periods of time
Ability to use fine motor skills to operate office equipment and/or
machinery Ability to properly drive and operate a vehicle
Ability to receive and comprehend instructions verbally and/or in
writing Ability to use logical reasoning for simple and complex
problem solving
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location,
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups, and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
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Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity / Affirmative Action employer, and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.
#RPO #RED #RPOLinkedIn
Keywords: Optum, Rio Rancho , Field Based Clinical Quality Coordinator - Albuquerque, NM, Healthcare , Bernalillo, New Mexico
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