Job details
Job type full-time
Full job description
Navihealth, part of optum and the unitedhealth group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwideWith millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling livesA career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more humanOur environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at homeJoin our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)
The quality assurance coordinator drives the success of navihealth patient navigation solutions with the goal of leading collaboration to improve quality of care and experience for our navihealth patientsThe quality assurance coordinator works on continuously evolving and growing the quality and performance improvement initiatives as navihealth takes on new businessThe quality coordinator is responsible for identifying and executing on areas of opportunity within the patient navigation operational modelThis position will provide support to leadership and will play an important part in supporting and driving initiatives within the teamThis position conducts analytical reviews of quality data and colleague functions through collection, observation, and analysis to build recommendations for training enhancements and quality improvement plans.
You`ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Primary responsibilities:
Collect, review, and summarize quality data, perform adequate data analyses, and supply reporting to identify areas of improvement on an ongoing basis for all patient navigation programs
Collaborate with leadership team to define quality measures to ensure baseline standards are established
Monitor and analyze outcomes to ensure goals and objectives, are met
Design and produce sampling procedures as needed
Report deficiencies and findings to department leaders and management affecting success with suggested actions; make recommendations and establish timetables for corrections and provide improvement suggestions to training & development and/or hr
Participate in the development and testing of pilot
Provide training and sop’s for new rollouts of system enhancements
Make recommendations for new features and improvements for increased service delivery
Detect and report software failures identified through quality monitoring
Partner with department leaders to resolve major quality programs
Anticipate operational challenges and ensure preventative actions are taken to reduce errors before they happen
Contribute to rollouts of company or department initiatives to improve service delivery and/or quality
Monitor progress and functionality of new rollout processes and procedures and report findings to leadership
Participate in all new implementations in order to fully understand the new service offerings so that quality assurance measures can be put in place post implementation to ensure we are meeting contract requirements
Review, audit, and close internal cases as well as prepare external summaries 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 diploma or equivalent required
Minimum of 2 years of experience gathering requirements and analyzing data and/or in quality improvement
Preferred qualifications:
1+ years managing patient care
General knowledge of insurance benefits structures
Strong working knowledge of medical terminology and healthcare landscape
Must be able to qualify and maintain hipaa requirements
General working knowledge of medical terminology and healthcare landscape
Proficiency in microsoft office (word, excel, and outlook) and data entry skills
Soft skills:
Excellent written and verbal communication skills, ability to act independently with minimum supervision, attention to detail, and ability to meet deadlines
Strong analytical and problem-solving skills
Excellent written and verbal communication skills
Ability to act independently with minimal supervision
Ability to support and interact with colleagues providing supervision
Strong organizational and multi-tasking skills needed
Excellent problem solving and critical thinking
About navihealth
Navihealth is improving the healthcare experience for seniors to live more fulfilling livesFor nearly a decade, navihealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to valuePowered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, navihealth’s high-touch, proven care model fully supports patients from pre-acute through to the homeWith navihealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissionsFor more information about navihealth, visit navihealth.com .
Our purpose
Improving the healthcare experience for seniors to live a more fulfilling life
Our values
Rooted in respect
Guided by purpose
Devoted to service
Energized by impact
The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this jobIt is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualificationsNavihealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Colorado residents only: the hourly range for colorado residents is $15.00 to $25.19Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
Navihealth is an equal opportunity employerAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Unitedhealth group is a drug-free workplaceCandidates are required to pass a drug test before beginning employment.
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