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HEDIS - Supervisor Clinical Admin RN - Remote

Company: UnitedHealth Group
Location: Minnetonka
Posted on: January 17, 2022

Job Description:

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
The Supervisor of Quality Operations is a subject matter expert for the Supplemental Data Entry and Primary Source Verification RNs and LVNs, assisting with growth and development, daily direction and requests as needed. - This role assists with the coordination of HEDIS - and STARs data gathering process within EMR systems, DataRAP and additional applications as needed. - This role evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, ensuring all data submitted to the health plan meets the HEDIS -/Star technical specifications for medical records. - This role assists the Manager of Quality Operations with communication of prioritization, strategy and best practices.
If you are located in the Central or Eastern time zone, -you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
Serve as subject matter expert to clinical staff
Coordinate and account for daily business activities
Analyze data for possible discrepancies and deficits and document findings
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 HEDIS -/Star measures
Review scanned records and data entry into supplemental data applications
Support chart chase process by requesting records from provider's offices as needed
Support and improve communications between market and corporate departments
Maintain education/knowledge base of HEDIS -/STARs standards and guidelines
Pull and review quality and productivity reporting
Conduct training on HEDIS -/STAR measures, HEDIS -/STAR data collection software and data collection strategies
Provide expertise to the corporate training department on STAR/HEDIS - measures and on the tools that support the collection of STAR/HEDIS - data
Assist with team coordination of system changes, and system upgrades
Develop process improvement
Perform 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:
Associate degree
Registered Nurse
3+ years of HEDIS - experience
3+ years of experience with data analysis/quality chart reviews
Excellent training and presentation skills with solid communication capabilities and practices, both oral and written
Experience using Microsoft office applications, including databases, word-processing, Visio - and Excel - spreadsheets
Access to High Speed Internet

Preferred Qualifications:
Bachelor's Degree
Certified Professional Coder
1+ years of supervisory or management experience
Excellent training and presentation skills with solid communication capabilities and practices, both oral and written
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

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Colorado, Connecticut or Nevada Residents Only: The salary -range for Colorado residents is $64,800 -to $116,00. The salary range for Connecticut/Nevada residents is $71,400 to $127,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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, you'll find a far-reaching choice of benefits and incentives.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Keywords: -HEDIS,Star data collection,CPC,STAR,Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

Keywords: UnitedHealth Group, Minnetonka , HEDIS - Supervisor Clinical Admin RN - Remote, Administration, Clerical , Minnetonka, Minnesota

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