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At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together .
Our Quality Optimization and Insights (QOI) Audit Engagement team is vital to our success and are leaders in driving the future growth of UnitedHealth Group. Success in these careers relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone.
UnitedHealthcare's Quality Optimization and Insights (QOI) is an integrated team serving all UnitedHealthcare businesses, focused on delivering operational efficiencies for centralized activities.
QOI combines talented individuals from many areas of quality. Our goal is extraordinary performance that exceeds the expectations of the constituents, customers, and members we serve.
This position reports to the Associate Director, Audit Engagement.
If you reside in EST or CST, you'll enjoy the flexibility to work remotely * as you take on some tough challenges.
Primary Responsibilities:
Be fully versed and trained on the HEDIS audit requirements and deliverables including the HEDIS Roadmap, and any other required trainings as directed
Support work with external auditors, health plans, IT, quality teams, and other teams as necessary, to ensure project deliverables are met
Responsible for assisting with the coordination and completion of project and deliverables across various functional areas
Monitor projects and deliverables to support on time and in scope completion
Document and track issues to ensure resolution with auditor
Participate in various post-implementation calls and activities
Identify and escalate risks
Attend all required meetings
Responsible for assisting with all HEDIS Roadmap readiness and completion activities
Review annual HEDIS Roadmap for updates or changes
Identify internal subject matter experts (SME) to complete designated HEDIS Roadmap sections
Schedule HEDIS Roadmap engagement meetings with identified SMEs
Attend HEDIS Roadmap engagement meetings as required
Distribute HEDIS Roadmap to identified SMEs for completion
Review completed HEDIS Roadmaps for accuracy prior to auditor submission
Assist with preparing HEDIS Roadmap documents for submission to auditors
Document dialog during all meetings as required, capturing key takeaways and follow-up items
Distribute meeting notes to attendees after meetings
Responsible for contributing to all audit review tasks and objectives.
Responsible for reviewing documentation requests received from auditors
Send needed documentation requests to internal partners
Ensure return of needed documentation from internal partners
Review audit agendas
Identify internal participants for audits as required
Distribute mock audit meeting invites to identified internal participants
Distribute audit meeting invites and agenda to identified participants
Facilitate Audit Reviews
Update project plans and prepare documentation and presentation materials detailing implementation and other support initiatives
Identify process improvement opportunities and design/implement solutions as required by Audit Manager
Conduct analysis of retrospective operations and engage teams to identify improvements
Observe and comply with policies and procedures for assigned scope
Uphold UnitedHealthcare's Cultural Values
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 demonstrated ability to manage multiple deliverables at a time while delivering high quality results
Demonstrated ability to assist with focusing activities toward a strategic direction and achieve target
Demonstrated ability to prioritize and balance multiple priorities and projects
Solid interpersonal skills
Solid time management and prioritization skills
Solid written and verbal communications skills
Solid proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint
Preferred Qualifications:
3+ years of Healthcare/Health Plan experience
Clinical and/or Health Education experience
Experience with NCQA HEDIS and/or EQRO audits
Solid proficiency with Microsoft Project
Soft Skills:
Ability to work without a lot of direction
Team player
Organized
Ability to manage multiple projects at a time
Integrity Value: Act Ethically
Comply with Applicable Laws, Regulations and Policies
Demonstrate Integrity
Compassion Value: Focus on Customers
Identify and Exceed Customer Expectations
Improve the Customer Experience
Relationships Value: Act as a Team Player
Collaborate with Others
Demonstrate Diversity Awareness
Learn and Develop
Relationships Value: Communicate Effectively
Influence Others
Listen Actively
Speak and Write Clearly
Innovation Value: Support Change and Innovation
Contribute Innovative Ideas
Work Effectively in a Changing Environment
Performance Value: Make Fact-Based Decisions
Apply Business Knowledge
Use Sound Judgement
Performance Value: Deliver Quality Results
Drive for Results
Manage Time Effectively
Produce High-Quality Work
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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