Clinical Practice Performance Coordinator - Remote Opportunity with Optum, a UnitedHealth Group Company

Transform Healthcare with Optum: Join Our Team as a Clinical Practice Performance Coordinator

At Optum, a global organization and a subsidiary of UnitedHealth Group, we're on a mission to help people live healthier lives and make the health system work better for everyone. We're committed to advancing health equity on a global scale by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. As a Clinical Practice Performance Coordinator, you'll play a vital role in supporting our local quality and provider teams, driving improvements in healthcare outcomes, and enhancing the overall patient experience.

About the Role

This is a full-time remote opportunity, available to candidates residing in New Hampshire or Maine. As a Clinical Practice Performance Coordinator, you'll work closely with our medical centers and physician practices to manage high-volume UnitedHealthcare Medical & Retirement membership. Your primary focus will be on improving health outcomes, optimizing customer satisfaction, and driving productivity.

Key Responsibilities

• Assist in reviewing medical records to identify Star opportunities for medical staff, involving data collection, data entry, quality monitoring, and chart collection activities.
• Locate medical screening results and documentation to ensure quality measures are followed, and gaps in care are closed.
• Track appointments and document information accurately in our supported systems, ensuring timely and efficient data management.
• Partner with leadership teams and practice staff to develop strategies that support the practice and our members, focusing on preventative health screenings and HEDIS gap closures.
• Interact with UnitedHealthcare members via telephone to assist with scheduling appointments, closing gaps in care, and addressing chart collection activities.
• Communicate scheduling challenges and trends that may impact quality outcomes, demonstrating proactive behavior in addressing customer needs.
• Provide ongoing support and education to team members, helping to remove barriers in care and drive productivity.
• Manage your time effectively to meet productivity goals, working independently in a virtual setting with minimal supervision.
• Analyze data from multiple system platforms to identify quality opportunities and address them on a member or provider level.
• Participate in department campaigns to improve overall quality improvements within measure star ratings or contracts.
• Perform other duties as assigned, demonstrating flexibility and a willingness to adapt to changing priorities.

Essential Qualifications

• High School Diploma or equivalent (GED).
• At least 1 year of experience in the healthcare industry.
• Proficiency in Microsoft Tools, including Word, Outlook, and Excel, with the ability to create, edit, and analyze documents and reports.
• Knowledge of HIPAA compliance requirements and the ability to maintain confidentiality.
• Flexibility to work any 8-hour shift schedule during normal business hours (8:00 am - 5:00 pm, Monday - Friday), with occasional overtime as needed.

Preferred Qualifications

• 1+ year of experience in a physician, provider, or medical office setting.
• 2+ years of telephonic customer service experience.
• EMR and HEDIS knowledge and experience.
• Familiarity with medical terminology.
• Prior experience as a Medical Assistant or LPN.
• Typing speed of at least 45-50 WPM.

Telecommuting Requirements

• Reside in New Hampshire or Maine.
• Ability to maintain company-sensitive documents securely.
• Dedicated work area that is separate from living areas and provides information privacy.
• Access to a UnitedHealth Group-approved high-speed internet connection.

Soft Skills

• Demonstrated ability to empathize with customers, understand their needs, and align with their realities.
• Effective active listening skills to develop trust and respect with customers.
• Self-motivation and internal drive to accomplish goals and recognize what needs to be done to achieve them.
• Ability to turn situations around and go above and beyond to meet customer needs.
• Good attendance record and adherence to UnitedHealth Group's Telecommuter Policy.

What We Offer

At Optum, we provide a comprehensive benefits package, career development opportunities, and a culture guided by diversity and inclusion. As a Clinical Practice Performance Coordinator, you'll have the chance to make a meaningful impact on the communities we serve, advancing health equity and improving health outcomes. You'll also enjoy:

• A competitive salary.
• 4 weeks of on-the-job training to support your success.
• Ongoing development opportunities to enhance your skills and career growth.
• A dynamic and supportive work environment that recognizes and rewards your performance.

Join Our Team

If you're a motivated and detail-oriented professional looking to make a difference in healthcare, we want to hear from you. As a Clinical Practice Performance Coordinator with Optum, you'll be part of a talented team dedicated to improving health outcomes and enhancing the patient experience. Apply now to start your journey with us!

UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer, committed to diversity and inclusion. We welcome applicants from diverse backgrounds and perspectives, and we're dedicated to creating a workplace that is inclusive and respectful of all employees.

Ready to take the next step? Apply now and join our team of dedicated professionals making a difference in healthcare.