Clinical Practice Performance Coordinator - Hybrid in Draper, UT

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Optum UT is seeking a Clinical Practice Performance Coordinator to join our team in Draper, Utah. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

Clinical Practice Performance Coordinator this position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records.

This position is full-time. Employees are required to work our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime. 

This will be on-the-job training and the hours during training will be 8:00am to 5:00pm, Monday - Friday.

If you are within commutable distance to the office at 12921 S Vista Station Blvd Draper, UT, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Employees are required to work 3 days onsite and 2 days from home.

Primary Responsibilities:

• Review medical records to highlight Star/HEDIS documentation opportunities
• Review medical records for data collection and quality monitoring including health plan/Optum form submission and chart collection activities that close gaps in care
• Partner with the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice
• Communicate scheduling challenges or trends that may negatively impact quality outcomes
• Track and trend barriers/challenges that exist within assigned groups so that better outcomes can be achieved; including access to appointments, lack of follow up on referrals, or inconsistent billing practices
• Activities may include data collection, data entry, quality monitoring, health plan/Optum form submission and chart collection activities
• Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures
• Support chart chase process by requesting records from provider's offices as needed
• Maintains education/knowledge base of HEDIS/STARs
• Patient outreach to support activities that close gaps in care.
• Performs all other related 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 work experience
• 2+ years of Healthcare experience to include experience in a managed care setting
• Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets
• Ability to keep all company sensitive documents secure (if applicable)
• Dedicated work area established that is separated from other living areas and provides information privacy
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to work our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime
• Reside within commutable distance to the office at 12921 S Vista Station Blvd Draper, UT
• Must be 18 years of age OR Older
• Driver's License and access to reliable transportation

Preferred Qualifications:

• 2+ years of experience working with HEDIS/STAR measures
• Experience with data analysis/quality chart reviews. Able to review data and provide recommendations for improvement
• ICD 9/10 and CPT coding experience 
• Experience working in a physician, provider, and/or medical office
• EMR and HEDIS knowledge and experience

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 to $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.  

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.