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Compliance Coordinator

3 months ago

El Segundo, California, United States UnitedHealth Group Full time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This position will be responsible for supporting the reporting and production functions of the Delegation Oversight department.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with every internal and external customer
  • Responsible for development and delivery of special Health Plan report requests for auditing purposes that are in addition to the standard reporting requirements
  • Works with customers to troubleshoot and resolve any errors or discrepancies identified when reviewing distributed reports
  • Prepares member notification mailings for specialist terminations using mass mailing processes
  • Supports the Delegation Oversight Department through the management and interpretation of data, project management, process improvement activities and group facilitation
  • Assists management team with file/audit log preparation for health plan audits
  • Maintains tracking logs and creating Service Now tickets for health plan reporting new templates
  • Assists in maintaining letter templates and communication changes with LCR/LMS team members
  • Uses, protects, and discloses our patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Develops and maintains specific reporting departmental job aides for team member cross training related to the department responsibilities
  • Performs additional 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 or higher
  • 2+ years of business analysis experience
  • 2+ years of experience in the managed care industry
  • 2+ years of experience in designing reports, reading SQL code
  • Intermediate level of proficiency with Microsoft Office products including Excel, Word and Access
Preferred Qualifications:
  • Knowledge of medical terminology, ICD10, CPT, HCPC codes
  • Familiarity with Capitated and FFS contract interpretations
  • Experience working with data extracts, queries and report writing
Soft Skills:
  • Computer literate
  • Proven experience with attention to detail and accuracy
  • Ability to create graphs and charts using Excel
  • Able to type 40 wpm
  • Filing skills
  • Customer service oriented
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $16.00 to $28.27 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

#RPO #Green