Job details
Job type full-time
Full job description
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you getLeading edge technology in an industry that`s improving the lives of millionsHere, innovation isn`t about another gadget, it`s about making health care data available wherever and whenever people need it, safely and reliablyThere`s no room for errorJoin us and start doing your life`s best work.(sm)
You’ll enjoy the flexibility to telecommute* from anywhere within united states as you take on some tough challenges.
Primary responsibilities:
Case and process analysis
Perform case process review and analysis to identify improvement initiatives
Perform case and process audits to identify gaps in staff training
Data analysis
Conduct research on causes of compliance related case errors
Access reporting portal to retrieve identify potential/actual errors
Access administrative tool to identify web based case submission delays
Perform analysis of authorization/referral based data on requests submitted through sharepoint from leadership team
Assist with creating and running queries to retrieve appropriate data sets
Knowledge of the full referral/authorization lifecycle from submission, error resolution, through final determination/output
Present of findings through ad hoc and standardized reports as requested by internal teams and clients
Reporting
Create reports, spreadsheets, and powerpoint slides for joint operating committee (joc) for multiple markets
Create reports, spreadsheets, and powerpoint slides for utilization management quality initiatives (umqi) for multiple markets
Perform final quality scrub and submission of monthly universe reports (odags)
Data collection and entry for other regulatory reporting (qmoc, ice)
Work within multiple databases to secure raw data for reporting purposes
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:
High school or ged
Proficient experience with microsoft office suite of application
Advanced excel experience (creating pivot tables, writing functions and formulas)
Healthcare industry experience
Preferred qualifications:
1+ years of reporting/analytic experience
Prior authorization experience
Experience in a managed care environment
Proficiency with bi tools such as microstrategy/tableau
Ability to handle multiple, complex and competing priorities and projects
Proactive approach to learning new skill set and accelerated learning curve
Team player with solid attention to detail
Solid communication skills with a variety of levels of constituents
Comfortable with the uncertainty of a dynamically changing environment
Demonstrated ability to drive project plan results and holding participants accountable
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Careers with optumHere`s the ideaWe built an entire organization around one giant objective; make health care work better for everyoneSo when it comes to how we use the world`s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serveOptum, part of the unitedhealth group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best work.(sm)
Optumcare is committed to creating an environment where physicians focus on what they do best: care for their patientsTo do so, optumcare provides administrative and business support services to both owned and affiliated medical practices which are part of optumcareEach medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient careOptumcare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.
Colorado residents only: the hourly range for colorado residents is $20.77 to $36.88Pay is based on several factors including but not limited to education, work experience, certifications, etcIn addition to your salary, unitedhealth group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)No matter where or when you begin a career with unitedhealth group, you’ll find a far-reaching choice of benefits and incentives.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy
Diversity creates a healthier atmosphere: optumcare is an equal employment opportunity/affirmative action employers 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.
Optumcare is a drug-free workplaceCandidates are required to pass a drug test before beginning employment.
Job keywords: quality analyst, quality, analysis, healthcare, telecommute, telecommuting, telecommuter, work from home, work at home, remote
