Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Business Process Coordinator provides Risk Adjustment support to provider groups, DataRAP staff, and vendors. Responsibilities include (not limited to) providing feedback on DataRAP programs and processes and assisting in DataRAP support tools (e.g. Splitter and Provider Administrative Tool). Ensures clinician satisfaction; maintains accountability throughout the annual chart retrieval and review process. Supports reconciling vendor invoices and supports incentive payments to providers. This position collaborates with multiple departments, stakeholders, and operational partners in all markets.Primary Responsibilities:
Perform the coordinator role through support of the annual chart retrieval and review process with provider groups and vendors
Supports quality performance and productivity by assisting in DataRAP support tools
Ensure consistent high-quality communication is provided to vendors and clinical staff
Adhere and stay abreast of changes to internal workflows, business rules, policies, and procedures
Utilize relevant software applications (e.g., Excel; Word; SharePoint; Outlook)
Generate/run reports to provide DataRAP staff with relevant information
Gather/utilize feedback regarding processes and procedures to help identify and implement applicable changes/improvements through User Acceptance Testing (UAT)
Demonstrate knowledge of relevant data confidentially and in accordance to guidelines (e.g., HIPAA compliance) and supports provider contact verification
Demonstrate understanding of fundamental health-care related terminology
Reconciling vendor invoicing and supporting incentive payments
Performs all 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:
2+ years of experience in a clinical and/or business setting, or equivalent, in advanced education
Basic knowledge in medical terminology
Proficiency with Microsoft Office applications to include Power Point, Word, and Excel
Proven excellent verbal, written communication, and attention to detail
Preferred Qualifications:
2+ years of experience in a physician’s clinic or hospital
Experience in processing invoices
Proven ability to work independently, with some supervision and direction from manager
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.
