Senior Clinical Quality Coordinator

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps
• Partner with operations and physician leadership to determine the best strategies to support the practice of our members ensuring that recommended preventative health screenings are completed and HEDIS gaps in care are addressed.  Conduct outbound calls to members an/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
• Answer inbound calls from members and/or providers regarding appointments, gaps in care, and customer needs
• Lead proves improvements projects and implements workflow interventions to support quality performance for our risk lives
• Work onsite at clinic locations daily to report out/address deficiencies on HEDIS performance to providers, management and clinical support staff
• Identify and seek out opportunities within one’s own workflow to improve efficiency

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:

• Medical Assistant Certification
• 2+ years working in the Healthcare field
• 2+ years working with programs in HEDIS Quality, Stars, CAHPS/HOS experience 
• Experience working directly with clinicians, provider practices and/or care delivery network experience with Medicaid, Medicare or other public programs
• MS Office skills

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 $23.41 to $41.83 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.  

OptumCare 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. 
 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.