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Optum

Business Process Coordinator

Posted 4 Hours Ago
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In-Office
San Antonio, TX
20-36 Hourly
Junior
In-Office
San Antonio, TX
20-36 Hourly
Junior
Coordinates annual chart retrieval and review processes with provider groups, clinical staff, and vendors. Supports DataRAP tools, reporting, workflow updates, user acceptance testing, provider verification, vendor invoice reconciliation, and incentive payments. Ensures accurate communication, productivity, data confidentiality, and HIPAA-compliant handling of information while collaborating across departments.
The summary above was generated by AI
Requisition Number: 2385273
This position follows Office-Based schedule with (4) In-office days per week. Our office is located at 19500 Ih 10 W, San Antonio, TX.
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Business Process Coordinator provides Risk Adjustment support to provider groups, DataRAP staff, and vendors. Responsibilities include (not limited to) providing feedback on DataRAP programs and processes and assisting in DataRAP support tools (e.g. Splitter and Provider Administrative Tool). Ensures clinician satisfaction; maintains accountability throughout the annual chart retrieval and review process. Supports reconciling vendor invoices and supports incentive payments to providers. This position collaborates with multiple departments, stakeholders, and operational partners in all markets.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to work during our normal business hours of 8:00 am - 5:00 pm CST.
We offer on-the-job training. The hours of the training will be aligned with your schedule.
Primary Responsibilities:
  • Perform the coordinator role through support of the annual chart retrieval and review process with provider groups and vendors
  • Supports quality performance and productivity by assisting in DataRAP support tools
  • Ensure consistent high-quality communication is provided to vendors and clinical staff
  • Adhere and stay abreast of changes to internal workflows, business rules, policies, and procedures
  • Utilize relevant software applications (e.g., Excel; Word; SharePoint; Outlook)
  • Generate/run reports to provide DataRAP staff with relevant information
  • Gather/utilize feedback regarding processes and procedures to help identify and implement applicable changes/improvements through User Acceptance Testing (UAT)
  • Demonstrate knowledge of relevant data confidentially and in accordance to guidelines (e.g., HIPAA compliance) and supports provider contact verification
  • Demonstrate understanding of fundamental health-care related terminology
  • Responsible for reconciling vendor invoicing and supporting incentive payments
  • Performs all other duties as assigned

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 equivalent work experience
  • Must be 18 years of age OR older
  • 2+ years of experience in a clinical, and/or business setting or equivalent combination of education and experience
  • Experience with Microsoft Office applications to include Microsoft Excel (view, sort, filter, creating spreadsheets) Microsoft Power Point (create slides), Microsoft Word (view, create, edit), Microsoft Outlook and Microsoft Teams
  • Ability to work on-site, Monday - Thursday. In-office days may change and are subject to business needs.
  • Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to work during our normal business hours of 8:00 am - 5:00 pm CST.

Preferred Qualifications:
  • 2+ years of experience in a physician's clinic or hospital
  • Experience in processing invoices
  • Experience creating Pivot tables within Excel
  • Basic knowledge in medical terminology

Telecommuting Requirements:
  • Reside within commutable distance to the office at 19500 Ih 10 W, San Antonio, TX.
  • 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.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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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