UnitedHealthcare's HEDIS Operations is an integrated team serving all UnitedHealthcare businesses, focused on delivering operational efficiencies for centralized activities. Document Management is integral to the success of HEDIS hybrid data collection and support supplemental data efforts as well. HEDIS Operations 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 Manager, Document Management. Document management is inherently complex given in addition to the requested documents, there are also invoices and miscellaneous responses or complaints that can be received when we engage with external groups. The complexity of our organization adds to the complications. The candidate must have a combination of strong project management skills, as well as strong leadership, analytical, and presentation skills. In addition the ideal candidate must have management experience within a remote team environment. Candidate must be goal oriented and results driven to execute on operational goals. ***This position can be located at any UnitedHealth Group location in the U.S.*** You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Comply with records management programs, including retention schedule requirements Comply with policies and procedures for document management including standardized naming conventions Complete all training regarding document management procedures and work flow Ensure all documents are managed and routed supporting HEDIS data collection efforts Monitor all document movement including both charts collected by UnitedHealthcare resources as well as charts from vendors and movement to appropriate abstraction team or other vendor Escalate any concerns related to document management to leadership Monitor and suppport teams conducting document IRR and indexing Support engagements with vendors or teams conducting document scanning services for medical charts Support invoice processing to pay for medical charts received Work with multiple teams to determine improvement opportunities in document flows and implement process changes for continuous improvement Support year round collection engagement and including document IRR and indexing Participate and ensure staff engagement in all User Acceptance Testing (UAT) pertaining to HEDIS Software, Onbase and HTA Assesses and interprets customer needs and requirements Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks Translates concepts into practice Provides explanations and information to others on difficult issues Coaches, provides feedback, and guides others Acts as a resource for others with less experience Uphold UnitedHealthcare Cultural Values Strong interpersonal skills Excellent time management skills Strong written and verbal communications skills
Required Qualifications: 1+ year Healthcare / Health Plan experience related to medical records BS / BA Degree 1+ year experience managing a remote team Demonstrated ability to assist with focusing activities toward a strategic direction and achieve targets Strong proficiency with Microsoft Office applications, including: Word, Excel and PowerPointPreferred Qualifications: Experience with medical record document imaging system Management experience in document imaging environment Clinical (RN or LPN) or RHIT Direct experience with HIM medical records Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.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. Job Keywords: HEDIS. Indexing, HIM, Medical Records., IRR, Documentation
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.