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UnitedHealth Group
Dallas
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the q
Job Source: UnitedHealth GroupOptum
Dallas, TX, United States
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the qua
Job Source: OptumOptum
Dallas, TX, United States
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the qua
Job Source: OptumM. C. Dean
Dallas
**Quality Engineer Associate - Dallas, TX** ID **11870** Location **Dallas, TX** Apply Now (be.taleo.net/phg04/ats/careers/v2/applyRequisition?org=MCDEAN&cws=62&rid=11870) **Quality Engineer** (Project Embedded) The Quality Engineer is responsible for documenting, managing, implementing, and institutionalizing the Quality Assurance plan for the ass
Job Source: M. C. DeanIntegrative Emergency Services
Dallas
POSITION SUMMARY Key Medical Care, A SilverStone Health Company, is seeking a Care Coordinator, with a MA or LVN background. The Care Coordinator is responsible for performing administrative and clinical duties under the direction of a licensed healthcare provider. This role helps facilitate communication with patients and providers to provide hig
Job Source: Integrative Emergency ServicesUnitedHealth Group
Plano
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** The Quality Manager is responsible for driving consistency in program implementation designed to facilitate a min
Job Source: UnitedHealth GroupUnitedHealth Group
Addison
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** The Quality Manager is responsible for driving consistency in program implementation designed to facilitate a min
Job Source: UnitedHealth GroupKarya Property Management
Dallas
KPM is looking for an ambitious Leasing Consultant with strong customer service skills and a passion for people to join the team in our Dallas, TX area! This is a full time position and compensation will range based on experience. The Leasing Consultant is the property’s sales representative whose primary duties are to greet prospects, present prof
Job Source: Karya Property ManagementDallas
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.**
This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records.
**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 scheduling 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 billing practices
+ Activities may include data collection, data entry, quality monitoring, health plan/WellMed form submission and chart collection activities
+ Assists with local IRR audits
+ Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures
+ Support chart chase process by requesting records from provider’s offices as needed
+ 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 or GED
+ 3+ years of healthcare experience to include experience in a managed care setting
+ 3+ years of experience with data analysis/quality chart reviews. Must be able to review data and provide recommendations for improvement
+ Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets
**Preferred Qualifications:**
+ Licensed Vocational/Registered Nurse, or Certified Professional Coder
+ 2+ years of experience working with HEDIS/STAR measures
+ 1+ years of HEDIS/STAR experience or participation with similar regulatory reporting
+ ICD 9/10 and CPT coding experience
+ Experience working in a physician, provider, and/or medical office
+ EMR and HEDIS knowledge and experience
**Physical & Mental Requirements** :
+ Ability to properly drive and operate a company or private vehicle
+ Occasionally requires exposure to communicable diseases or bodily fluids
_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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Email Alert for HEDIS Quality Coordinator for South Dallas TX_ jobs in Dallas
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