Practice Performance Specialist

This position is Field Based and requires regular travel to various locations as part of your daily responsibilities.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid on-the-job training and the hours during training will be normal business hours, Monday - Friday
Primary Responsibilities:

• Perform data collection, data entry, quality monitoring, image uploads, and chart collection activities.
• Track appointments and document information accurately and completely in all supported systems in a timely manner.
• Collaborate with leadership, practice administrative, and clinical staff to develop strategies that support the practice and ensure members receive recommended preventative health screenings and HEDIS gaps in care are addressed.
• Interact with UHC members via telephone to support appropriate levels of care, including outbound calls to schedule appointments, close gaps in care, or assist with chart collection.
• Maintain confidentiality and comply with HIPAA requirements.
• Manage time effectively to meet productivity goals.
• Locate medical screening results/documentation to support quality measure closure-note: no evaluation or interpretation of clinical data is required.
• Work independently in a virtual setting, applying problem-solving, professional judgment, and critical thinking to resolve issues.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 / GED
• Must have valid drivers license and proof of insurance
• Must be 18 years or older
• 2+ years of telephonic customer service experience.
• 1+ years of healthcare experience, including member outreach and directing members to the appropriate level of care
• 1 + years of experience using Microsoft Word and Outlook.
• Proficiency in navigating, filtering, and analyzing reports in Microsoft Excel.
• Reside within a commutable distance of Seattle, WA.
• Ability to travel up to 25% of the time throughout the state of Washington
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Healthcare customer service experience.

Soft Skills:

• Strong ability to connect with consumers to understand and align with their needs.
• Effective active listening skills to build trust and respect with customers.
• Self-motivated with a strong sense of responsibility and goal orientation.
• Proven ability to go above and beyond to meet customer needs.
• Consistent and reliable attendance record.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 - $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED