Easter Seals Jobs

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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Working Hours: Monday through Friday from 8:00 AM to 5:00 PM

Location: 909 Hidden Ridge Irving, TX

This position will work directly with our Quality and Risk Adjustment market-based teams and providers with both our employed and contracted providers in the respective market position are assigned. The PSU PCC is responsible for setting up and organizing events for members to be seen by PSU Clinical staff. The PSU PCC is responsible for collecting data and capturing the Quality measures. Delivers quality customer service and maintains established quality control standards.

This position will be held accountable for the following metrics % of appointments schedule, # of Gaps Closed, Post Audit/Reporting accuracy/audits complete, overall 5 Star rating for HMO products, and to achieve other assigned POD goals/metric objectives as assigned.

Primary Responsibilities:

• Grandpad setup

• Member pre-visit setup

• In processing setup

• Auditing support for PSU and/or data miners (validation of PRP open/closed gaps)

• Use ePRG to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, etc.

• Calculating and Submitting expenses and mileage for established POD

• Quality assurance review of submitted forms for PSU 8. Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports)

• Equipment supply ordering and registration/check out to various employees

• Assist PSR as necessary with outbound calls

• Cover for Field PSU Data Mining events when necessary

• Preparation of visit checklist and packets for MA/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log)

• Responsible for keeping the overall calendar of all PSU/QRA activities/interventions including any PSU screening events

• Ensure weekly reporting of activities of all PSU/Data mining staff is accurate and timely

• Responsible for ensuring all Resource Requests are sourced and staffed appropriately 16. Coordinate with mobile screening vendor(s) for completion of FOC

• Create any member mailings or customized calling scripts that are necessary to support QRA PSU efforts

• Conduct post audits and ensure all gap measure were capture by corporate team (e.g. no longer pink in pink box)

• Responsible for end-to-end process flow and accountable for achieving targets established for their PODS.

• Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively

• Identify training opportunities for staff based on post audits and report findings to direct manager

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

• Medical Plan options along with participation in a Health Spending Account or a Health Saving account

• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

• 401(k) Savings Plan, Employee Stock Purchase Plan

• Education Reimbursement

• Employee Discounts

• Employee Assistance Program

• Employee Referral Bonus Program

• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 experience working with Microsoft Office including Excel, Word, etc.

• 1+ years of related work experience including data entry

• 1+ years of customer service experience

• High speed internet capability

Soft Skills:

• Ability to work independently and maintain good judgment and accountability

• Demonstrated ability to work well with health care providers

• Strong organizational and time management skills

• Ability to multi-task and prioritize tasks to meet all deadlines

• Ability to work well under pressure in a fast-paced environment

• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, 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.

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

#rpo, #yellow