Optum Logo

Optum

Practice Performance Specialist

Reposted 6 Days Ago
Be an Early Applicant
In-Office
Seattle, WA
20-36 Hourly
Junior
In-Office
Seattle, WA
20-36 Hourly
Junior
Field-based role performing data collection, chart and image uploads, quality monitoring, and member outreach to close HEDIS gaps. Collaborates with practice staff, documents activities in systems, maintains HIPAA confidentiality, meets productivity goals, and travels up to 25% within Washington state.
The summary above was generated by AI
Requisition Number: 2340569
This position is Field Based and requires regular travel to various locations as part of your daily responsibilities.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid on-the-job training and the hours during training will be normal business hours, Monday - Friday
Primary Responsibilities:
  • Perform data collection, data entry, quality monitoring, image uploads, and chart collection activities.
  • Track appointments and document information accurately and completely in all supported systems in a timely manner.
  • Collaborate with leadership, practice administrative, and clinical staff to develop strategies that support the practice and ensure members receive recommended preventative health screenings and HEDIS gaps in care are addressed.
  • Interact with UHC members via telephone to support appropriate levels of care, including outbound calls to schedule appointments, close gaps in care, or assist with chart collection.
  • Maintain confidentiality and comply with HIPAA requirements.
  • Manage time effectively to meet productivity goals.
  • Locate medical screening results/documentation to support quality measure closure-note: no evaluation or interpretation of clinical data is required.
  • Work independently in a virtual setting, applying problem-solving, professional judgment, and critical thinking to resolve issues.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
  • Must have valid drivers license and proof of insurance
  • Must be 18 years or older
  • 2+ years of telephonic customer service experience.
  • 1+ years of healthcare experience, including member outreach and directing members to the appropriate level of care
  • 1 + years of experience using Microsoft Word and Outlook.
  • Proficiency in navigating, filtering, and analyzing reports in Microsoft Excel.
  • Reside within a commutable distance of Seattle, WA.
  • Ability to travel up to 25% of the time throughout the state of Washington
  • Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:
  • Healthcare customer service experience.

Soft Skills:
  • Strong ability to connect with consumers to understand and align with their needs.
  • Effective active listening skills to build trust and respect with customers.
  • Self-motivated with a strong sense of responsibility and goal orientation.
  • Proven ability to go above and beyond to meet customer needs.
  • Consistent and reliable attendance record.

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 $20.38 - $36.44 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.
#RPO #RED #RPOLinkedIn

Top Skills

Excel
Microsoft Word
Outlook

Similar Jobs at Optum

2 Days Ago
In-Office
4 Locations
20-36 Hourly
Junior
20-36 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Telephonic Care Navigator connects members with care, educates on gaps, assists with scheduling, and ensures access to services while maintaining quality metrics.
Top Skills: ExcelMicrosoft OutlookMicrosoft Word
2 Days Ago
In-Office
Olympia, WA, USA
20-36 Hourly
Mid level
20-36 Hourly
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Business Manager oversees administrative support and non-clinical operations, ensuring timely execution of tasks and effective workflow management.
Top Skills: Microsoft Office Suite
4 Days Ago
In-Office or Remote
10 Locations
238K-358K Annually
Mid level
238K-358K Annually
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide clinical oversight for utilization management and care transitions, perform daily UM reviews and peer-to-peer discussions, liaise with network and community providers, support care coordination and analytics needs, participate in medical advisory activities, and provide intermittent weekend/evening coverage.
Top Skills: Electronic Health Records

What you need to know about the Seattle Tech Scene

Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.

Key Facts About Seattle Tech

  • Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Amazon, Microsoft, Meta, Google
  • Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
  • Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Madrona, Fuse, Tola, Maveron
  • Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account