At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone.
LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans.
By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.
LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.
Review, compile and analyze data from quality audits to identify opportunities for training and skill calibration needs based on results.
Perform quality audits of clinical operations staff to identify trends, summarize findings and provide recommendations to Quality Supervisor.
Utilizes criteria to sustain consistency in QA methodology.
Performs quality audits on clinical operations staff including order and call audits. Audits ensure adherence to process, quality of work performed, and service provided to customers.
Analyze outcomes of existing processes to identify opportunities for process, technology or training enhancements.
Responsible for compiling and maintaining various quality reports and working with the Quality Supervisor to develop improvement plans.
Assist clinical operations trainers in new hire and calibration training within the department, as needed.
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.
2+ years of experience analyzing data, performing quality audits, and/or identifying process improvements.
Understanding of contract and/or regulatory standards and their application to quality improvement initiatives.
Equivalent combination of education, experience and/or applicable military experience will be considered.
Proficiency in Microsoft Office, including Word create, edit and save documents), Excel (create, edit and save spreadsheets) Outlook (email and calendar management)
Current license or able to obtain RN licensure in the state of Wisconsin or a compact state
Prior military or call center experience
Military RN background
Knowledge of CPT and ICD10 coding
Experience analyzing and reporting statistical data
National Career Readiness Certificate
Must possess excellent verbal and written communication skills
Ability to present data and information in a meaningful way that paints the picture of opportunities and possible solutions.
Analytical thinking and teamwork skills.
Must be able to problem solve in a fast paced environment, multitask and meet tight deadlines.
Ability to perform detailed work with a high degree of accuracy.
Careers with LHI. Our focus is simple. We’re innovators in cost - effective health care management. And when you join our team, you’ll be a partner in impacting the lives of our customers, and employees. We’ve joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We’re located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We’re supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission - driven focus. For you, that means one incredible team and a singular opportunity to do your life’s best work.SM
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.
Keywords: quality, QA, training, clinical, MedNet, CPT, ICD10, coding, audits, Optum, LHI, La Crosse, WI, La Crosse Telecommute