UnitedHealthcare’s HEDIS Operations is an built-in workforce serving all UnitedHealthcare companies, targeted on delivering operational efficiencies for centralized actions. Doc Management is integral to the success of HEDIS hybrid knowledge assortment and help supplemental knowledge efforts as nicely. HEDIS Operations combines gifted people from many areas of high quality. Our objective is extraordinary efficiency that exceeds the expectations of the constituents, clients and members we serve. This place studies to the Affiliate Director, Doc Management. Doc management is inherently complicated given along with the requested paperwork, there are additionally invoices and miscellaneous responses or complaints that may be acquired once we interact with exterior teams. The complexity of our group provides to the problems. The candidate should have a mixture of robust venture management expertise, in addition to robust management and presentation expertise. This candidate have to be extremely achievement oriented to execute on operational objectives.
***This place could be situated at any UnitedHealth Group location within the U.S.***
Main Duties:
Guarantee compliance with data management packages, together with retention schedule necessities and consults on doc management methods.
Execute Doc Inter-Rater Reliability program for all paperwork collected and submitted by assets outdoors of HEDIS Operations employees
Guarantee compliance with insurance policies and procedures for doc management together with standardized naming conventions.
Associate with coaching staff to make sure strong coaching packages are in place for all HEDIS Operations employees and stakeholders relating to doc management procedures and work circulate.
Guarantee all paperwork are managed and routed supporting HEDIS knowledge assortment efforts.
Monitor all doc motion together with each charts collected by UnitedHealthcare assets in addition to charts from distributors and motion to applicable abstraction workforce or different vendor.
Intervene and implement course of modifications as wanted to make sure success for general challenge objectives associated to doc management.
Monitor and help engagements with know-how companions to (ECG, Onbase, QDAR).
Monitor and handle groups conducting doc IRR and indexing.
Monitor and handle engagements with distributors or groups conducting doc scanning providers for medical charts.
Help bill processing to pay for medical charts acquired.
Work with a number of groups to find out enchancment alternatives in doc flows and implement course of modifications for steady enchancment.
Help yr spherical assortment engagement and together with doc IRR and indexing
Take part and guarantee employees engagement in all Consumer Acceptance Testing (UAT) pertaining to HEDIS Software program, Onbase and HTA.
Interact with worldwide useful resource packages to useful resource group the place applicable, together with oversight of the engagements.
Assesses and interprets buyer wants and necessities
Identifies options to non-commonplace requests and issues
Supplies explanations and knowledge to others on troublesome points
Oversee employees engaged in all actions above.
Conduct improvement program for all direct stories
Uphold UnitedHealthcare Cultural Values Required Qualifications:
Expertise with doc management work flows
Minimal 1 yr Healthcare/Well being Plan expertise associated to medical data
BS/BA Diploma
Demonstrated capability to help with focusing actions towards a strategic course and obtain targets
Robust knowledge management and/or venture management expertise
Wonderful group improvement expertise
Robust interpersonal expertise
Wonderful time management and prioritization expertise
Wonderful written and verbal communications expertise
Robust proficiency with Microsoft Workplace purposes, together with: Phrase, Excel and PowerPoint
Most popular Qualifications:
Medical and/or Well being Schooling expertise (RN or LPN desired)
Expertise with Onbase
Expertise working with HEDIS software program distributors (management, constructing relationships, concern decision and so on.)
SAS and/or SQL expertise
Primary statistical information and software of steady high quality enchancment ideas, reminiscent of Six Sigma or PDCA
Careers with UnitedHealthcare. Let’s speak about alternative. Begin with a Fortune 6 group that is serving greater than 85 million individuals already and constructing the business’s singular popularity for daring concepts and impeccable execution. Now, add your power, your ardour for excellence, your close to-obsession with driving change for the higher. Get the image? UnitedHealthcare is serving employers and people, states and communities, army households and veterans the place ever they’re discovered throughout the globe. We deliver them the assets of an business chief and a dedication to enhance their lives that is second to none. That is no small alternative. It is the place you are able to do your life’s greatest work.(sm)
Variety creates a more healthy environment: UnitedHealth Group is an Equal Employment Alternative/Affirmative Motion employer and all certified candidates will obtain consideration for employment with out regard to race, shade, faith, intercourse, age, nationwide origin, protected veteran standing, incapacity standing, sexual orientation, gender id or expression, marital standing, genetic info, or some other attribute protected by regulation.
UnitedHealth Group is a drug-free office. Candidates are required to move a drug check earlier than starting employment.
Job Key phrases: SAS, SQL, HEDIS, data management, knowledge assortment, ECG, Onbase, telecommute, telecommuting, telecommuter, distant
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