Supervisor of Quality Operations CEQ National Data Mining Team - Remote
Job title: Supervisor of Quality Operations CEQ National Data Mining Team - Remote in Eden Prairie, MN at UnitedHealth Group
Company: UnitedHealth Group
Job description: 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.The Supervisor of Quality Operations is responsible for management of the CEQ National Remote Data Mining and Provider Contact Center teams. This role leads a team of LPNs through year-round provider outreach for HEDISĀ® data collection. The supervisor will act as a systems, call center, and HEDISĀ® SME for their staff, assisting with call and technical specification questions. Through quality reviews, call monitoring, and quality and productivity reporting, the supervisor will ensure all data submitted to the health plan meets HEDISĀ®/STAR technical specifications for medical records and provide actionable feedback to their staff to promote continued success. This role assists the Manager of Quality Operations with communication of prioritization, strategy, and best practices.Youāll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
Serve as subject matter expert to clinical staff
Coordinate and account for daily business activities
Perform quality assurance on remote data mining
Perform quality assurance on provider calls
Perform quality assurance on the data entry and over read of non-standard supplemental data obtained from medical record review
Navigate multiple documentation systems and obtain medical record sections supportive of HEDISĀ®/Star measures
Review scanned records and data entry into supplemental data applications
Support chart chase process by requesting records from providerās offices as needed
Maintain education/knowledge base of HEDISĀ®/STARs standards and guidelines
Pull and review quality and productivity reporting
Conduct training on HEDISĀ®/STAR measures, HEDISĀ®/STAR data collection software, and data collection strategies
Assist with team coordination of system changes, and system upgrades
Participate in debrief activities and continual process improvement exercises
Perform all other related duties as assigned
Youāll 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:
Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice
3+ years of HEDISĀ® experience
2+ years of experience acting as a team leader or SME
Experience using Microsoft office applications, including databases, word-processing, VisioĀ® and ExcelĀ® spreadsheets
Proven excellent training and presentation skills with solid communication capabilities and practices, both oral and written
Access to high-speed Internet
Preferred Qualifications:
Bachelorās Degree
Certified Professional Coder
2+ years of call center experience
1+ years of supervisory or management experience
Proven ability to be flexible in a continuously changing environment
Physical & Mental Requirements:
Ability to lift up to 25 pounds
Ability to sit for extended periods of time
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
*All employees working remotely will be required to adhere to UnitedHealth Groupās Telecommuter PolicyThe salary range for this role is $71,600 to $140,600 annually 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, youāll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneāof every race, gender, sexuality, age, location and incomeādeserves 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.
Expected salary: $71600 - 140600 per year
Location: Eden Prairie, MN
Apply for the job now!
Apply Now
Company: UnitedHealth Group
Job description: 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.The Supervisor of Quality Operations is responsible for management of the CEQ National Remote Data Mining and Provider Contact Center teams. This role leads a team of LPNs through year-round provider outreach for HEDISĀ® data collection. The supervisor will act as a systems, call center, and HEDISĀ® SME for their staff, assisting with call and technical specification questions. Through quality reviews, call monitoring, and quality and productivity reporting, the supervisor will ensure all data submitted to the health plan meets HEDISĀ®/STAR technical specifications for medical records and provide actionable feedback to their staff to promote continued success. This role assists the Manager of Quality Operations with communication of prioritization, strategy, and best practices.Youāll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
Serve as subject matter expert to clinical staff
Coordinate and account for daily business activities
Perform quality assurance on remote data mining
Perform quality assurance on provider calls
Perform quality assurance on the data entry and over read of non-standard supplemental data obtained from medical record review
Navigate multiple documentation systems and obtain medical record sections supportive of HEDISĀ®/Star measures
Review scanned records and data entry into supplemental data applications
Support chart chase process by requesting records from providerās offices as needed
Maintain education/knowledge base of HEDISĀ®/STARs standards and guidelines
Pull and review quality and productivity reporting
Conduct training on HEDISĀ®/STAR measures, HEDISĀ®/STAR data collection software, and data collection strategies
Assist with team coordination of system changes, and system upgrades
Participate in debrief activities and continual process improvement exercises
Perform all other related duties as assigned
Youāll 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:
Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice
3+ years of HEDISĀ® experience
2+ years of experience acting as a team leader or SME
Experience using Microsoft office applications, including databases, word-processing, VisioĀ® and ExcelĀ® spreadsheets
Proven excellent training and presentation skills with solid communication capabilities and practices, both oral and written
Access to high-speed Internet
Preferred Qualifications:
Bachelorās Degree
Certified Professional Coder
2+ years of call center experience
1+ years of supervisory or management experience
Proven ability to be flexible in a continuously changing environment
Physical & Mental Requirements:
Ability to lift up to 25 pounds
Ability to sit for extended periods of time
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
*All employees working remotely will be required to adhere to UnitedHealth Groupās Telecommuter PolicyThe salary range for this role is $71,600 to $140,600 annually 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, youāll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneāof every race, gender, sexuality, age, location and incomeādeserves 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.
Expected salary: $71600 - 140600 per year
Location: Eden Prairie, MN
Apply for the job now!
Apply Now