Hybrid Risk & Quality Admin Associate (Healthcare)

UnitedHealth Group; Worcester (MA); Hybrid; Confidential; Full time

Job summary

UnitedHealth Group in Worcester, MA is seeking a Risk & Quality Management Associate to provide day-to-day risk management and patient safety support across all Optum Massachusetts sites. You will analyze data, track claims, and assist with administrative functions in a hybrid role with two in-office days per week.

The position requires 3+ years of administrative support in healthcare, strong Excel/Word/PowerPoint skills, and the ability to present data to diverse groups.

Qualifications

• 3+ years of secretarial/administrative support experience, preferably in a Healthcare setting.
• Ability to work on Site at 385 Grove Street, Worcester, MA at least twice per week.
• Solid automated spreadsheet skills (ability to set-up worksheets and formal data).
• Advanced word processing skills (ability to enter and manipulate complex, difficult and non-routine text or numerical data).
• Demonstrated ability to review and synthesize data and present data and strategy to a large group of diverse individuals.
• Demonstrated ability to prepare spreadsheets including financial data and be able to determine when it is appropriate to use Excel, PowerPoint or Word.
• Driver's License and access to reliable transportation.
• Background in healthcare
• Working knowledge of graphics
• Experience and expertise in public speaking

Responsibilities

• Establish and lead an atmosphere of Just Culture
• Actively promotes and utilizes the safety event reporting system (RLDatix) for adverse events, including near misses, occurring at all Optum Massachusetts sites
• Conducts data aggregation and analyses to assess performance improvement opportunities and measure improvements
• Reviews insurance carrier information and reports to outside healthcare entities requesting malpractice insurance coverage verifications
• Assists with developing warning and termination letters for patients as directed
• Collects, evaluates and distributes relevant data concerning patient injuries; aggregate data summaries, monthly/quarterly trends; provides aggregate analysis of risk data and trending of losses, etc.
• Assist in the maintenance of Peer Review files consisting of claims, suits, PCEs, and patient complaints for each practitioner
• Performs various administrative functions for managers or others to relieve him/her of responsibility and detail
• Prepares and submits requisitions for supplies, equipment or maintenance service with appropriate signatures
• Prepares and distributes notices of correspondence to all Managers, Supervisors, Directors and Physician Leadership
• Prepares, copies and maintains records of correspondence, takes telephone messages, schedules appointments and meetings, supplies routine answers where possible, and places outgoing telephone calls
• Engages in extensive contact with all levels of personnel in a professional and confidential manner. Promptly and courteously receives all visitors to the department
• Maintains files and records usually of a highly confidential nature
• Prepares minutes of meetings, memos, and letters as required
• Works within established policy, precedent and guidelines. Work is broad, varied and complex
• Involves ownership of ongoing projects or one-of-a-kind tasks. Requires multi-tasking. Will need to be resourceful and track down information to find answers or solve problems and make decisions. Expected to create efficiencies and streamline processes as required
• Establishes own work plan and prioritizes, using and/or modifying established procedures, to ensure timely completion of assigned work in conformance with established departmental policies and standards; problems lacking clear precedent are usually reviewed with supervisor prior to taking action
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives
• Enhance professional growth and development through educational programs, seminars, etc.
• Attends a variety of meetings, conferences, and seminars as required or directed
• Performs other similar and related duties as required
• Regular, reliable and predicable attendance is required

Skills

Data synthesis

Communication skills

Public speaking

Tools

Excel

PowerPoint

Word

Job description

UnitedHealth Group in Worcester, MA is seeking a Risk & Quality Management Associate to provide day-to-day risk management and patient safety support across all Optum Massachusetts sites. You will analyze data, track claims, and assist with administrative functions in a hybrid role with two in-office days per week.

The position requires 3+ years of administrative support in healthcare, strong Excel/Word/PowerPoint skills, and the ability to present data to diverse groups.