Practice Performance Specialist

This position is Remote in Washington, Oregon, Idaho, Montana, Nevada, Utah, Wyoming OR Hawaii. You will have the flexibility to work remotely* as you take on some tough challenges. 

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.  

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.  

    

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 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 / GED
• Must be 18 years of age OR older 
• 2+ years of telephonic customer service experience.
• 1 + year of experience using Microsoft Word and Outlook.
• Proficiency in navigating, filtering, and analyzing reports in Microsoft Excel.
• Ability to work Monday – Friday, 8:00AM – 5:00PM PST

  

Preferred Qualifications:

• Healthcare customer service experience
• Experience in pharmacy or as a pharmacy technician

  

Telecommuting Requirements: 

• Reside within the state of Washington, Oregon, Idaho, Montana, Nevada, Utah, Wyoming OR Hawaii 
• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy. 
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. 

  

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

   

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy   

  

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 $20.00 – $35.72 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.