19 days old

Logistics Support Admin - Dallas, TX

Dallas, TX 75201
  • Job Code
    867263
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing 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 PSU Logistical Support Admin is responsible for collecting data and capturing the
Quality measures. Delivers quality customer service and maintains established quality control
standards. This position will be held accountable for the following metrics % of appointments
schedule, # 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.

Primary Responsibilities:
  • Auditing support for PSU and/or data miners (validation of PRP open/closed gaps)
  • Use ePRG to pull various reports including but not limited to PML, Pink Box, Patient Summary detail, etc.
  • Calculating and Submitting expenses and mileage for established POD
  • Quality assurance review of submitted forms for PSU
  • Troubleshooting for missing elements (i.e. may include calling radiology providers for copies of mammogram reports)
  • Equipment supply ordering and registration/check out to various employees
  • Assist PSR as necessary with outbound calls
  • Cover for Field PSU Data Mining events when necessary
  • Preparation of visit checklist and packets for MA/NP visits (including preparing packet of SDS, FOC, Attestation, and Patient Summary Detail log)
  • Responsible for keeping the overall calendar of all PSU/QRA activities/intervention including any PSU screening events
  • Ensure weekly reporting of activities of all PSU/Data mining staff is accurate and timely
  • Responsible for ensuring all Resource Requests are sourced and staffed appropriately
  • Coordinate with mobile screening vendor(s) for completion of FOC
  • Create any member mailings or customized calling scripts that are necessary to support QRA PSU efforts
  • Conduct post audits and ensure all gap measure were capture by corporate team (e.g. no longer pink in pink box)
  • Responsible for end to end process flow and accountable for achieving targets established for their PODS
  • 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

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.

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Posted: 2020-06-16 Expires: 2020-07-16

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Logistics Support Admin - Dallas, TX

UnitedHealth Group
Dallas, TX 75201

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