Practice Support Unit Logistical Support Coordinator Tampa FL

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

This position will work directly with our Quality and Risk Adjustment market based teams and providers with both our employed and contracted providers in the respective market position are assigned. The Practice Support Unit (PSU) Logistical Support Coordinator is responsible for the coordination and completion of PSU events/visits across various functional areas. Provides subject matter expertise in areas including PSU events/visit scope definition, event logistics, resource allocation, facilitation, reporting, and other areas of expertise based on established logistical coordination techniques. Makes presentations to management, internal and external customers on event updates, barriers, successes and expected results. Ensures PSU events/visits are processed, completed and tracked on time and in scope. Delivers quality customer service and maintains established quality control standards. This position will be held accountable for the following metrics % of appointments schedule, % of event requests processed, # of Gaps Closed, Post Audit/Reporting accuracy/audits complete, overall 5 Star rating for HMO products, and to achieve other assigned POD goals/metric objectives as assigned. Attend events when necessary.

If you are located in Central FL, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Coordinate alignment and understanding of PSU events/visits scope and objectives with the organization's strategic objectives and the Voice of the Customer (internal and external)
• Plan and Coordinate PSU events/visits/initiatives with contracted and employed PCPs
• Coordinate and support PSU events/visits/initiatives scope and objectives throughout the event lifecycle, as needed. (before, during and after)
• Audit and track all PSU events/visits, validation and submission of PRP open/closed gaps
• Deliver all test results and progress notes generated by PSU events/visits to contracted and employed PCPs
• Analyze event’s outcomes and make appropriate recommendations to improve future event requests (e.g., provider and patient satisfaction, lessons learned, team’s member performance)
• Use ePRG, eCW, CDSS, Productivity Reports to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, Call Lists, Event Summaries, etc.
• Quality assurance review of submitted forms for PSU
• Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports)
• Assist PSR as necessary with outbound calls
• Cover for Field PSU Data Mining events when necessary
• Create, update and maintain accurate patient profiles in eCW for upcoming and past PSU visits/events
• Preparation of visit checklist and packets for LPN/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log)
• Keeping the overall calendar of all PSU/QRA activities/interventions including any PSU events/visits/initiativesEnsure weekly reporting of activities of all PSU staff is accurate and timely
• Ensuring all Requests are coordinated, sourced and staffed appropriately
• Coordinate with mobile screening vendor(s) for completion of FOC
• Coordinate with cross-functional teams any member mailings or customized calling scripts that are necessary to support QRA PSU efforts
• Conduct post audits and ensure all submitted gap measure were capture by corporate team (e.g. no longer pink in pink box)
• Ensure direct manager has accurate knowledge of progress, risks, and barriers proactively
• Identify training opportunities for staff based on post audits and report findings to direct manager
• Ensure that new/revised business processes/procedures are documented/updated/approved, as needed (e.g., process flows, SOPs, job aids, training guides)
• 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:

• High school graduate or GED
• Current Driver’s License and reliable transportation with automobile insurance coverage
• 2+ years of experience with tracking data, working with large data sets, and making data-driven analytical decisions
• Working knowledge of medical office procedures and medical terminology
• Proficiency with MicroSoft Office (Excel, Word, and PowerPoint)
• Ability to travel occasionally, as needed, within assigned market

Preferred Qualifications:

• Associate’s or Bachelor’s Degree in business, customer service or healthcare related field
• ICD 10 and CPT coding experience
• Familiarity with HEDIS and STAR measures
• Bilingual (English/Spanish)
• Time management, organizational, and prioritization skills and ability to balance multiple priorities
• Keen judgment and collaborative problem solving skills
• Articulate and able to communicate with peers internal and external to the organization
• Ability to handle confidential and sensitive data with discretion
• Ability to work in a fast paced environment on multiple events with tight deadlines while paying close attention to the details of all the deliverables
• Be flexible and adaptable to change

Physical & Mental Requirements:

• Ability to lift up to 50 pounds
• Ability to push or pull heavy objects using up to 50 pounds of force
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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.

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

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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.