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Logistical Support Admin - Dallas, TX

UnitedHealth Group


Location:
Dallas, TX
Date:
03/28/2017
Job Code:
1736302
Apply on the Company Site
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Job Details


Logistical Support Admin - Dallas, TX(Job Number:709417)
Description

This position will work directly with our Quality and Risk Adjustment market based teams and providers with both our employed and contracted providers in the respective market position are assigned. The PSU Logistical Support Admin is responsible for collecting data and capturing the Quality measures. Delivers quality customer service and maintains established quality control standards. This position will be held accountable for the following metrics % of appointments schedule, # of Gaps Closed, Post Audit/Reporting accuracy/audits complete, overall 5 Star rating for HMO products, and to achieve other assigned POD goals/metric objectives as assigned.
 
 
Primary Responsibilities:
  • Auditing support for PSU and/or data miners (validation of PRP open/closed gaps)
  • Use ePRG to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, etc
  • Quality assurance review of submitted forms for PSU
  • Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports)
  • Equipment supply ordering and registration/check out to various employees
  • Cover for Field PSU Data Mining events when necessary
  • Preparation of visit checklist and packets for MA/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log)
  • Responsible for keeping the overall calendar of all PSU/QRA activities/interventions including any PSU screening events
  • Ensure weekly reporting of activities of all PSU/Data mining staff is accurate and timely
  • Responsible for ensuring all Resource Requests are sourced and staffed appropriately
  • Create any member mailings or customized calling scripts that are necessary to support QRA PSU efforts
  • Conduct post audits and ensure all gap measure were capture by corporate team (e.g. no longer pink in pink box)
  • Responsible for end to end process flow and accountable for achieving targets
  • Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively
  • Identify training opportunities for staff based on post audits and report findings to direct manager

Job Administrative Support
Primary Location US-TX-Dallas
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 2
Apply on the Company Site

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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