Quality Performance Coordinator – Irvine, CA

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Quality Performance Coordinator is responsible to support and implement data-driven strategies and workplans that improve the health, well-being, and quality of care and service received by our Medi-Cal members, as demonstrated by high quality measure performance.  This role will collaborate with internal and external key stakeholders, regional operations, IPA practices, FQHCs, and other community partners, to drive clinical relationships and engagements between members and their care delivery system. This focus of this role is Medi-Cal quality metric performance, which may include but is not limited to HEDIS and CMS Measure gap closure, and CAHPS/HOS patient experience performance.

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 8:30 am – 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime. Employees are required to work some days onsite and some days from home.

We offer weeks of paid training. The hours during training will be 8:30 am to 5:00 pm PST, Monday – Friday.

 

If you are within commutable distance to the office at Irvine, CA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

 

Primary Responsibilities:

Under the supervision of the VP, Government Programs and in collaboration with other stakeholders, the Quality Performance Coordinator will implement data-driven strategies and workplans that improve the overall health and service provided to our Medi-Cal patients. The goals of the program may include:

• Supports quality performance measures (e.g., HEDIS, CMS, CAHPS) by engaging targeted provider practices and members, collaborating on improvement workplans.
• Meets monthly with assigned practices, shares performance score card and creates action plan based on baseline assessment for performance improvement.
• Ensures work plans are successfully executed in a timely manner.
• Supports programs integrating in-office embedded and wrap-around support including but not limited to patient scheduling, chart reviews, targeted mailings and IVR campaigns, workflow optimization and visible performance tracking.
• Provides new office staff/ new and refresher quality overview trainings.
• Facilitates Cozeva trainings and of best practice workflow implementation; promotes and supports EHR-Cozeva integration opportunities.
• Collaborates and aligns strategies with other regional support teams (e.g., Provider Relations and Population Health).
• Maintains performance tracking related to assigned projects to ensure timely and accurate execution and required documentation; uses performance reports to track and trend progress.
• Participates in required meetings related to Medi-Cal Pay for Value (P4V) performance, measure updates, etc.
• Stays informed on all member outreach activities and communication schedules, and shares updates to assigned practices.
• Supports continuous performance improvement through research and testing of new initiatives to assess success and scalability.
• Provides continuous feedback to manager and team on performance, barriers, opportunities, and action plans for all assigned practices.
• Other duties as assigned.   

 

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 or equivalent yrs of experience
• Must be 18+ yrs of age or older
• 1+ years working with programs in HEDIS Quality, Stars, CAHPS/HOS experience
• Prior experience working directly with clinicians, provider practices and/or care delivery networks
• Experience with computers including Windows based programs
• Experience with MS Office (Microsoft Word, Microsoft Excel, Microsoft  Outlook & Microsoft Teams)
• PowerPoint Presentation skills.
• Excellent communication skills.
• Valid CA Driver’s license, current insurance and reliable transportation to local provider offices.
• Ability to travel up to 25% of the time
• Ability to any of our 8-hour shift schedules during our normal business hours of 8:30 am – 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime.

 

Preferred Qualifications

• Bilingual in Spanish, Vietnamese, Chinese or Farsi
• Provider office administrative or call center experience
• Experience with Technology-based Solutions (EHRs, IVR, Texting Applications, etc.) 

 

Telecommuting Requirements:

• Reside within commutable distance to the office at 9 Technology Drive Irvine, CA
• 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.

  

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

 

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

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.

 

 

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.

 

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