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HEDIS Data Extractor - Fort Myers, FL (Local Travel Required)

UnitedHealth Group

Fort Myers, FL
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Job Details

738236 Healthcare Services Coordinator Fort Myers FL

HEDIS Data Extractor - Fort Myers, FL (Local Travel Required) (738236)

Position Description

Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.(sm)
*This position requires travel up to 75% travel throughout Collier County, Charlotte County, and Lee County. Position will be onsite at 13751 Metropolis Ave. Fort Myers, FL 33912 when not traveling.*
Employees in this position will work as an extension of the local quality and provider teams by aligning to geographical regions, medical centers and / or physician practices that manage a high volume of WellMed membership.
Primary Responsibilities:
  • Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff
  • Review medical records for data collection, data entry, quality monitoring including health plan / WellMed form submission and chart collection activities that close gaps in care
  • Partner with the leadership team, the practice administrative or clinical staff to determine best strategies to support the practice
  • Assist patients in navigating their network of providers by assisting with follow-up and specialist appointments as needed
  • Assist with program eligibility and appropriate referrals to remove barriers in care. This may include referrals to case management and / or social worker services
  • Interaction with WellMed patients and providers via telephone including inbound / outbound calls regarding appointments / scheduling to close gaps in care
  • Communicate scheduling challenges or trends that may negatively impact quality outcomes
  • Track and trend barriers / challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices
  • Activities may include data collection, data entry, quality monitoring, health plan / WellMed form submission and chart collection activities
  • Provide ongoing support and education to team members and assist in removing barriers in care
  • Assist licensed staff in obtaining medical screening results / documentation for review
  • Other duties, as assigned 
Required Qualifications:
  • High School Diploma / GED
  • Certified Medical Assistant, Patient Care Technician or Certified Nursing Assistant  or other equivalent certification
  • 4+ years of customer service experience or equivalent
  • Working knowledge of Microsoft tools: Word, Outlook and Excel
  • 2+ years of healthcare background or equivalent
  • Strong data entry skills
Preferred Qualifications:
  • ICD 9/10 and CPT coding experience
  • Experience working in a physician, provider, and / or medical office
  • EMR and HEDIS knowledge and experience

If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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: MA, PCT, CNA, Medical Assistant, Patient Care Tech, Certified Nursing Assistant, Medical Office, Customer Service, Fort Myers, Bonita Springs, Estero, Lehigh Acres, Naples, Marco Island, Punta Gorda, Port Charlotte, Cape Coral

Job Details

  • Contest Number738236
  • Job TitleHEDIS Data Extractor - Fort Myers, FL (Local Travel Required)
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptumCare

Job Location Information

  • Fort Myers, FL
    United States
    North America
  • Other LocationsMarco Island, FL
    Lehigh Acres, FL
    Bonita Springs, FL
    Estero, FL
    Lehigh Acres, FL

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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