Risk Quality Management Associate - Hybrid

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Under the direction of the Senior Manager, Risk Management, Optum Massachusetts, the Risk & Quality Management Associate provides day-to-day risk management and patient safety support across all Optum Massachusetts sites. Performs a variety of duties related to data input, analysis, trending and tracking of claims and risk management information.  Performs a variety of duties involving multiple high-level administrative projects. Assist managers or others in administrative functions. Has frequent contact with the public and high-level staff personnel on matters requiring tact and knowledge of department policies and procedures.

Location: 385 Grove Street, Worcester, MA

Hours: Monday - Friday between 8am & 5pm. 

If you are located in Worcester, MA, you will follow a hybrid schedule with two in-office days per week. 

Primary Responsibilities:

• Establish and lead an atmosphere of Just Culture 
• Actively promotes and utilizes the safety event reporting system (RLDatix) for adverse events, including near misses, occurring at all Optum Massachusetts sites
• Conducts data aggregation and analyses to assess performance improvement opportunities and measure improvements
• Reviews insurance carrier information and reports to outside healthcare entities requesting malpractice insurance coverage verifications
• Assists with developing warning and termination letters for patients as directed
• Collects, evaluates and distributes relevant data concerning patient injuries; aggregate data summaries, monthly/quarterly trends; provides aggregate analysis of risk data and trending of losses, etc.
• Assist in the maintenance of Peer Review files consisting of claims, suits, PCEs, and patient complaints for each practitioner
• Performs various administrative functions for managers or others to relieve him/her of responsibility and detail
• Prepares and submits requisitions for supplies, equipment or maintenance service with appropriate signatures
• Prepares and distributes notices of correspondence to all Managers, Supervisors, Directors and Physician Leadership
• Prepares, copies and maintains records of correspondence, takes telephone messages, schedules appointments and meetings, supplies routine answers where possible, and places outgoing telephone calls
• Engages in extensive contact with all levels of personnel in a professional and confidential manner.  Promptly and courteously receives all visitors to the department
• Maintains files and records usually of a highly confidential nature
• Prepares minutes of meetings, memos, and letters as required
• Works within established policy, precedent and guidelines. Work is broad, varied and complex
• Involves ownership of ongoing projects or one-of-a-kind tasks. Requires multi-tasking. Will need to be resourceful and track down information to find answers or solve problems and make decisions. Expected to create efficiencies and streamline processes as required
• Establishes own work plan and prioritizes, using and/or modifying established procedures, to ensure timely completion of assigned work in conformance with established departmental policies and standards; problems lacking clear precedent are usually reviewed with supervisor prior to taking action
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.  
• Complies with established departmental policies, procedures, and objectives
• Enhance professional growth and development through educational programs, seminars, etc.   
• Attends a variety of meetings, conferences, and seminars as required or directed
• Performs other similar and related duties as required or directed
• Regular, reliable and predicable attendance is required

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:

• 3+ years of secretarial/administrative support experience, preferably in a Healthcare setting
• Experience and expertise in public speaking
• Working knowledge of graphics

• Ability to work on Site at 385 Grove Street, Worcester, MA at least twice per week 

• Solid automated spreadsheet skills (ability to set-up worksheets and formal data)

• Advanced word processing skills (ability to enter and manipulate complex, difficult and non-routine text or numerical date)

• Demonstrated ability to review and synthesize data and present data and strategy to a large group of diverse individuals
• Demonstrated ability to prepare spreadsheets including financial data and be able to determine when it is appropriate to use Excel, PowerPoint or Word
• Driver's License and access to reliable transportation

Preferred Qualification:

• Background in healthcare

Working Conditions / Physical Demands:

• Busy office environment with frequent deadlines and interruptions
• Regional travel between medical groups
• Must be able to regularly travel to multiple locations which may or may not be accessible by public transportation
• Occasional early or late meetings to accommodate clinician's schedules
• Physical health is sufficient to meet the ergonomic standards and demands of the position

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 - $36 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.