Quality Analyst

Optum; Sumter (SC); Hybrid; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Health Plan options

Dental, Vision, Life insurance

401(k)

Education Reimbursement

Employee Discounts

Employee Assistance Program

Referral Bonus Program

Voluntary Benefits

Job summary

Optum is seeking a Quality Analyst to join our evolving team in Sumter, SC. The hybrid role involves supporting clinical staff with documentation, quality metrics, and ensuring accurate chart management.

Candidates should have a High School Diploma or GED, relevant medical certification, and at least 1 year of medical office and EMR experience. Strong communication and teamwork skills are essential.

Qualifications

• High School Diploma or GED is required.
• Active medical assistant certification (CMA, CCMA, NCMA, or RMA) or nursing assistant certification (CNA) is required.
• 1+ years in a medical office with EMR experience and knowledge of medical terminology is required.
• 1+ years of computer proficiency, including Excel spreadsheets, is required.

Responsibilities

• Review, research and assist clinical staff with setting up documents and monitoring quality metrics.
• Efficient, productive, and thorough handling of members' charts.
• Meet productivity, schedule adherence and quality standards while maintaining attendance.
• Collaborate with team to solve complex problems.
• Prioritize, multitask, and work in a team-oriented environment.
• Perform other duties as assigned.

Skills

Communication skills

Teamwork

Time management

Multitasking

Education

High School Diploma/GED

Medical assistant certification (CMA/CCMA/NCMA/RMA) or CNA

Tools

Excel

EMR systems

ECW

Job description

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together.

Optum is seeking Quality Analyst to join our growing team. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.

Schedule

Monday through Thursday, 7:45 AM- 5:00 PM or until last patient leaves. Friday 7:45 am to 1:00 pm or until last patient leaves. May be asked to float to other locations for coverage, as needed.

Location

674 W Liberty Street, Sumter, SC 29150 (hybrid, may have the opportunity to work from home a few days per week)

If you reside near Sumter, SC, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges.

Primary Responsibilities

• Review, research and assist clinical staff with setting up documents and monitoring quality metrics
• You will need to be efficient, productive, and thorough dealing with member's charts
• Constantly meet established productivity, schedule adherence and quality standards while maintaining good attendance
• Works with team to solve complex problems
• Prioritize, multi-task, and can work in a Team oriented environment
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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
• Active medical assistant certification (CMA, CCMA, NCMA, or RMA) or nursing assistant certification (CNA)
• 1+ years in a medical office, experience with EMR, medical terminology, and previous experience in the medical field
• 1 + years of computer proficiency to include understanding excel spreadsheets

Preferred Qualifications

• Experience with electronic medical records (ECW)
• 1+ year working of clinical experience
• 1+ year customer service experience
• Knowledge of insurance carriers and managed care plans
• Knowledge of medical terminology

Soft Skills

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*All Telecommuters 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 $18.00 to $32.00 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.

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.

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