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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 role will be in the Retrieval Operations – Quality and Prospective Solutions department, and will be responsible for supporting the Retrieval Ops Lead as directed and providing subject matter expertise (SME) as it relates to the retrieval of medical records and client relationship management.

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

Primary Responsibilities:

• Operational Team Support

• Coordinate and develop adhoc reporting for retrieval as needed

• Seek opportunities to improve operating efficiencies / effectiveness

• Assist in development of user guides, standard operating procedures, job aids and presentations for training

• Assist with issue escalation as needed

• Client Management Support

• Maintain tracking of key retrieval facts and dates by client

• Manage client retrieval issues for assigned clients (in partnership with Quality Program Managers (QPMs), Customer Success Team, and vendor)

• Provide system and process training

• Provide consultative support and strategy to assist clients in achieving business goals

• Attend weekly meetings with clients for assigned clients to present retrieval performance and metrics

• Partnering with QPMs and Customer Success Team to focus on client quality and production concerns (will the vendor hit the targets; is client engaged)

• Review production reports to identify risk to meeting business objectives and compliance with client SLA’s

• Post HEDIS and Risk reporting and metrics

• Retrieval Vendor Management Support

• Lead issue resolution with vendor on system or reporting issues for Retrieval

• Partner with vendor in identifying risks to meeting business objectives and developing remediation as appropriate

• Lead in identifying, developing & communicating retrieval application enhancements and system performance

• Coordinate file specification requirements between Optum and vendor

• Improve existing retrieval application reports to better align with changing operations and business needs

• Develop and monitor vendor system retrieval enhancement requirements from QPMs & and coordinates with Clinical Quality Oversight (CQO) team, Customer Success Team, and vendors

• Develop test cases used vendor application testing

• Oversee file management transfer from Optum, client and vendor re: Retrieval and resolve issues as needed

• Additional Duties

• User Acceptance Testing (UAT) – participate in assisting UAT team in Optum product testing, including development and testing of test case scenarios

• SharePoint Site Access back up Manager

• Utilize skills in problem solving, meeting deadlines, working independently, motivating/influencing/inspiring others, and working in a matrix environment to drive efficiencies through influence

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:

• 2+ years of experience in HEDIS and/or Risk chart retrieval

• 2+ years of experience working for a health plan and/or a provider’s office

• Experience creating and presenting slide decks

• Proficiency with MS Word (intermediate+)

• Proficiency with PowerPoint (intermediate+)

• Proficiency with MS Excel, including pivot tables and v-lookups

Preferred Qualifications:

• 2+ year of experience in managing individual and group projects

• 2 + years of experience analyzing provider and claims data

• Working knowledge of general medical record contents

• Proficiency with MS Access (intermediate+)

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. 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.