Quality Specialist- Veteran Services – National Remote

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.

This position is full time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am – 5pm. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of training will be aligned with your schedule.

You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Review, compile and analyze data from quality audits to identify opportunities for training and skill calibration needs based on results

Perform quality audits of staff to identify trends, summarize findings and provide recommendations to leadership

Utilizes criteria to sustain consistency in QA methodology

Ensure audits effectively assess current process, quality of work performed, and service provided to customers

Analyze outcomes of existing processes to identify opportunities for process, technology or training enhancements

Responsible for compiling and maintaining various quality reports and working with leadership to develop improvement plans

Assist trainers in new hire and calibration training within the department, as needed

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 or GED

Must be 18 years of age OR older

2 years’ experience analyzing data, performing quality audits, and/or identifying process improvements

Understanding of contract and/or regulatory standards and their application to quality improvement initiatives

Equivalent combination of education, experience and/or applicable military experience will be considered

Must possess excellent verbal and written communication skills

Ability to present data and information in a meaningful way that paints the picture of opportunities and possible solutions

Database experience (maintenance and querying) and working with electronic files/documents

Analytical thinking and teamwork skills

Ability to problem solve in a fast-paced environment, multitask and meet tight deadlines

Ability to perform detailed work with a high degree of accuracy

Intermediate computer skills, particularly Microsoft office

Ability to work Monday to Friday, 8am-5pm

Preferred Qualifications:

MedNet proficiency

Knowledge of relevant software, applications and equipment

Military background

Knowledge of CPT and ICD10 coding

Experience analyzing and reporting statistical data

Telecommuting Requirements:

Ability to keep all company sensitive documents secure (if applicable)

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $23.22 – $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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