HEDIS / STARS Associate - Farmington, CT - Optum : Job Details

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.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any shift schedules during our normal business hours of 9:00 am - 5:30 pm. Our office is located at 3 FARM GLEN Blvd Farmington, CT . Employees are required to work somedays days onsite and somedays days from home.

We offer 3 weeks of paid training. Training will be conducted onsite.

If you are within commutable distance to the office at 3 FARM GLEN Blvd Farmington, CT, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Primary Responsibilities:

• Support all aspects of payor quality programs including those administered by The Centers for Medicare and Medicaid Services (CMS), Medicare Advantage (MA) and commercial payors;
• Leads day-to-day activities for payor quality programs including chart review, abstraction, and submission
• Review and update patient charts with historical data, as required
• Serve as a subject matter expert on CMS and HEDIS quality measure specifications; Demonstrate a commitment to continual learning
• Support special projects to promote enhanced patient experience and quality outcomes
• Participate in data validation for EHR reports as required
• Attend and participate in quality team meetings and educational sessions
• Foster innovative problem solving and uphold principles of continuous quality improvement
• Assist in the resolution of issues and elimination of roadblocks to ensure timely completion of tasks
• Perform other duties as assigned

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
• Must be 18 years of age OR older
• 2+ years experience as a medical assistant
• Experience with working with CMS and HEDIS quality measures
• Experience with working in a primary care setting
• Proficient in the use of Microsoft Office applications: Microsoft Word, Microsoft Excel, and Microsoft Outlook
• Ability to work between the hours of 9:00 AM - 5:30 PM from Monday - Friday

Preferred Qualifications:

• Experience in clinical OR community health settings
• Experience in customer service OR a related field
• Experience with data entry and analysis
• Experience with Epic

Telecommuting Requirements:

• Reside within commutable distance to the office at 3 FARM GLEN Blvd Farmington, CT
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy  

Connecticut Residents Only: The hourly range for this is $19.47 - $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.