20130827 - Senior Business Operations Coordinator

Senior Business Operations Coordinator
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Senior Business Operations Coordinator - Las Vegas NV - 528677

Position Description

Position Description:

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)

Quality Management Coordinator is an integral part of the department team. Is responsible for clinical support of the RN staff and the QM Manager related to the processing of member complaints.

Positions in this function include those responsible for providing process and operational support to the functions within Business Operations Family. Positions in this function may also be responsible for quality reporting, analysis and audits, and for developing plans and programs to support continuous quality improvement using applicable tools.

Primary Responsibilities:

• Faxing, emailing documents, ordering of medical charts, mailing correspondence follow up calls with providers and facility staff
• Supporting and working along with a team of RN reviewers, QM Manager and Medical Director to maintain the department case files and data entry into the department data base
• Communicating both verbally and in writing to internal and external customers to achieve the department's timelines
• Extensive work experience within own function.
• Work is frequently completed without established procedures.
• Works independently.
• May act as a resource for others. 
• May coordinate other's activities.

Requirements

Requirements:

• High School Diploma/GED
• 2+ years of experience in the healthcare industry
• Proficient with Microsoft Word and Excel
• 2+ years of experience in data entry, report queries and the ability to analyze reports for accuracy

Assets:

• Knowledge of HIPPA compliance
• Working knowledge of medical terminology is strongly desired
• Experience with Electronic Medical Records, Facets, Maccess data bases, right fax
• 2+ year of Clinical experience in a clinical front office/back office, or clerk in case management, or clerk for case utilization role.
  
  

UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you work with UnitedHealthcare Employer & Individual, what you do matters. It's that simple and it's that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Details

Contest Number:	528677
Job Title:	Senior Business Operations Coordinator - Las Vegas NV
Job Family:	Business Operations
Business Segment:	Employer

Job Location Information:

Region:	North America
Country:	United States
City:	Las Vegas
State - Province:	Nevada
Other States where Job(s) is Located:	,,,,
Other Cities where job(s) is Located:	,,,,

Additional Job Detail Information:

Employee Status:	Regular
Schedule:	Full-time
Job Level:	Individual Contributor
Shift:	Day Job
Travel:	No
Telecommuter Position:	No
Overtime Status:	Non-exempt