Senior Practice Performance Specialist - Remote near Omaha, NE

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timePosted 9 days ago location United States salarySalary undisclosed
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Job Description

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.

Senior Practice Performance Specialist is responsible for reviewing medical records, collection of data, data entry, uploading images and charts. You will also locate medical screening results, track appointments, assistance via phone including both inbound and outbound calls.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 2717 N 118th Street. However, this will be a remote position near Omaha, NE.
If you are located in the Omaha, NE area, you will have the flexibility to telecommute* as you take on some tough challenges.
Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at:
Primary Responsibilities:
  • Functioning independently, virtually meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members.
  • Execute applicable provider incentive programs for health plan.
  • Assist in the review of medical records to highlight Star opportunities for the medical staff.
  • Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities.
  • Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data.
  • Track appointments and document information completely and accurately in all currently supported systems in a timely manner.
  • Optimize customer satisfaction, positively impact the closing of gaps in care and productivity.
  • Partner with your leadership team, the practice administrative or clinical staff to determine the best strategies to support the practice and our members.
  • Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities.
  • Answer inbound calls from patients and/or providers regarding appointments.
  • Communicate scheduling challenges or trends that may negatively impact quality outcomes.
  • Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs.
  • Provide ongoing support and education to team members and assist in removing barriers in care.
  • Manage time effectively to ensure productivity goals are met.
  • Ability to work independently in virtual setting. Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise.
  • Identify and seek out opportunities within one's own work flow to improve call efficiency.
  • Adhere to corporate requirements related to industry regulations/responsibilities.
  • Maintain confidentiality and adhere to HIPAA requirements.
  • Data analysis required for multiple system platforms to identify open quality opportunities to address on a member or provider level
  • Appointment coordination for specialist appointments, late to refill medication outreach and scheduling members for local market clinic events
  • Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts.
  • Field based activities require the abilities to support appropriate targeted providers.
  • Work internally with support team on adhoc projects, initiatives, and sprints to address measure star ratings and increase overall measure performance
  • Participate and engage with team on member or provider campaigns which may include documentation tracking, member outreach, data analysis and data entry
  • Support incentive account owners on strategy development, feedback and participate within monthly meetings to give updates on member outreach or quality measure closures
  • Support EMR data exchange initiatives with incentive program owner to establish data communication between provider group and UHC
  • Other 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 higher)
  • 2+ years of telephonic customer service experience
  • 1+ years of a healthcare background with medical terminology familiarity of clinical issues
  • 1+ years of working experience with ICD- 9/10 and CPT Codes
  • 1+ years of working experience with Microsoft Tools: Word and Outlook - must be able to open, edit, create, save and send Word Documents and Outlook emails.Experience with navigating, filtering and analyzing reports in Microsoft Excel
  • 1+ years of working experience with and knowledge of HIPAA compliance requirements
  • Strong data entry skills, with a typing speed of at least 45-50 WPM
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
  • Experience working in a physician, provider, and/or medical office is preferred.
  • Medical Assistant
  • LPN
  • EMR and HEDIS knowledge and experience
Soft Skills:
  • Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
  • Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect
  • Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s)
  • Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
  • Good Attendance Record
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
Some of the steps we've taken to ensure employee well-being include:
  • Transitioned our new hire training classes to be conducted virtually
  • Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
  • Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
  • Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
  • Fully cover the COVID-19 healthcare costs for our employees
  • Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home
You can learn more about all we are doing to fight COVID-19 and support impacted communities at:
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality..... click apply for full job details