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Hours Full-time, Part-time
Location Irvine, CA
Irvine, California

About this job


What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success.


 


With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)


 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties may be assigned.

1.    Under the direction of the Performance Improvement Supervisor and Director, Performance    Improvement, provides operational support in the development/ implementation of initiatives related to PI programs, projects and related activities:

a.    Coordinates inter-departmental communication in order to ensure the successful and timely deployment of Performance Improvement initiatives;

b.    Coordinates meetings, prepares agendas, assembles presentation materials, and other supportive duties as assigned;

c.    Supports continuous quality improvement initiatives through research and testing of initiatives to assess success and scalability;

d.    Manages data entry into the quality reporting database, analyzes data integrity and works with provider offices to provide support / education on correct use of the application;

e.    Coordinates physician education through in-service trainings and transparency of data;

f.     Coordinates member education on evidence-based guidelines through educational mailings, community-based events and direct outreach calls;

g.    Helps prepare and coordinate of data validation audits;

h.    Keeps abreast of current industry guidelines, publications, events, and status reports for all QIP;

i.     Attends conferences and meetings related to HEDIS/ Pay-for-Performance /

      CMS Stars/ ACO Quality Reporting as required;

j.    Assists Department Director and Medical Director as needed.

 

2.    Promotes open, clear, communication amongst internal departments and with other company departments. 

3.    Consistently supports compliance by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting noncompliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and current Monarch HealthCare and client policies and procedures.

4.    Performs other related duties as required.

 

Requirements

Required Qualifications:



  • High School Diploma/GED or equivalent experience

  • 1 year experience in managed care environment within Quality Improvement or equivalent experience.

  • Familiar with medical terminology

  • Proficient in Excel, Word, and Outlook

  • Professional phone etiquette and letter writing skills

Preferred Qualifications:


  • Medical Assistant experience

  • LVN experience

 


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


 


Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.


 


Job Keywords: Patient Care Coordinator, Patient Service Representative, Customer Service, Clinic, Clinical Administrative Coordinator, Medical Office, Receptionist, Customer Service, Patient Care, Medical, Healthcare, Admitting and Registration Clerk, Irvine, CA

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