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

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3-4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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, and 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 identify trends observed and potential strategies to support the practice
• Communicate 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 coding practices
• Activities may include data collection, data entry, quality monitoring, health plan/WellMed form submission and chart collection activities
• Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures
• Support quality initiatives by requesting medical records from provider's offices as needed.
• Receives and responds to incoming Clinical Quality inquiries from all communication venues: e.g. phone and fax queue, TruCare, or department e-mail box
• Conducts in-bound and out-bound calls for quality requirements including, but not limited to: patient scheduling, medical records requests, contact verification
• Documents timely patient and clinic interactions of in-bound and/or out-bound calls into software applications
• Provides clerical and/or administrative support to quality staff and managers for special projects and reporting needs
• Provides excellent customer service by serving as a resource to all internal and external customers
• Maintains education/knowledge base of HEDIS/STARs
• Performs all other related 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
• 18 years of age or older
• 2+ years of administrative support experience.
• Experienced using Microsoft Office applications, including Microsoft Excel, Microsoft Word, and Microsoft Outlook.
  
• Possesses medical terminology knowledge base
• Ability to work 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

• Certified Medical Assistant training OR certification
• 1+ years of HEDIS/STAR experience OR participation with similar quality regulatory reporting.
• 2+ years of experience in a physician's clinic or hospital
• 3+ years of experience with data analysis/quality chart reviews
• Additional years of experience working in a medical care setting as a receptionist OR medical assistant.
• Bilingual fluency in English/Spanish
  
• EMR and HEDIS knowledge and experience
• Reside within commutable distance of 19500 IH 10W 2nd floor, San Antonio, TX 78257

Telecommuting Requirements:

• 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.

Soft Skills:

• Must be able to work independently, with some supervision and direction from manager.
• Must possess and demonstrate excellent organizational skills, customer service skills, to include verbal and written communication.
• Must maintain and demonstrate a high degree of to include both personal conduct and appearance at all times.
• Must maintain strict confidentiality at all times.
• Must adhere to all department/ organizational policies and procedures.

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.

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