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UnitedHealth Group Risk and Quality Management Administrator - Worcester, Massachusetts in Worcester, Massachusetts

Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together.

Provides day to day risk management and patient safety support across all Reliant Medical Group sites. Performs a variety of duties related to data input, analysis, trending and tracking of claims and risk management information. Performs a variety of duties involving multiple high-level administrative projects. Assists manager or others in administrative functions. Has frequent contact with the public and high-level staff personnel on matters requiring tact and knowledge of department policies and procedures.

Primary Responsibilities:

  • Actively promotes and utilizes the Staff Safety Alert System for adverse events, including near misses, occurring at all Reliant sites

  • Conducts data aggregation and analyses to assess performance improvement opportunities and measure improvements

  • Reviews insurance carrier information and reports to outside healthcare entities requesting malpractice insurance coverage verifications

  • Assists with developing warning and termination letters for patients as directed

  • Collects, evaluates and distributes relevant data concerning patient injuries; aggregate data summaries, monthly/quarterly trends; provides aggregate analysis of risk data and trending of losses, etc

  • Assist in the maintenance of Peer Review files consisting of claims, suits, PCEs, and patient complaints for each practitioner

  • Performs various administrative functions for manager or others to relieve him/her of responsibility and detail

  • Prepares and submits requisitions for supplies, equipment or maintenance service with appropriate signatures

  • Prepares and distributes notices of correspondence to all Managers, Supervisors, Directors and Physician Leadership

  • Prepares, copies and maintains records of correspondence, takes telephone messages, schedules appointments and meetings, supplies routine answers where possible, and places outgoing telephone calls

  • Engages in extensive contact with all levels of personnel in a professional and confidential manner

  • Promptly and courteously receives all visitors to department

  • Answers phone courteously and promptly and takes accurate phone messages

  • Provides full phone coverage and screening for Executive Offices

  • Maintains files and records usually of a high confidential nature

  • Prepares minutes of meetings, memos, letters as required

  • Works within established policy, precedent and guidelines

  • Work is broad, varied and complex

  • Involves ownership of ongoing projects or one-of-a-kind tasks

  • Requires multi-tasking

  • Will need to be resourceful and track down information to find answers or solve problems and make decisions

  • Expected to create efficiencies and streamline processes as required

  • Establishes own work plan and prioritizes, using and/or modifying established procedures, to ensure timely completion of assigned work in conformance with established departmental policies and standards; problems lacking clear precedent are usually reviewed with supervisor prior to taking action

  • Complies with health and safety requirements and with regulatory agencies such as DPH, etc

  • Complies with established departmental policies, procedures, and objectives

  • Enhances professional growth and development through educational programs, seminars, etc

  • Attends a variety of meetings, conferences, and seminars as required or directed

  • Performs other similar and related duties as required or directed

  • Regular, reliable and predicable attendance is required

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:

  • 3+ years of secretarial/administrative support experience, preferably in a Healthcare setting

  • Experience to prepare spreadsheets including financial data and be able to determine when it is appropriate to use Excel, PowerPoint or Word

  • Experience to create overheads for presentations, spreadsheets or analysis of a minimal financial nature

  • Proven advanced word processing skills (ability to enter and manipulate complex, difficult and non-routine text or numerical date)

  • Proven solid automated spreadsheet skills (ability to set-up worksheets and formal data)

  • Demonstrated working knowledge of graphics

  • Demonstrated ability to formulate data correlations to determine drivers of risk

  • Demonstrated ability to conduct moderate level statistical analysis

  • Demonstrated critical thinking and reasoning skills

  • Excellent written and verbal skills

  • Excellent interpersonal, organizational, communication and customer service skills

  • Demonstrated ability to communicate effectively and sensitively with staff and providers in stressful situations

  • Demonstrated ability to multi-task, think critically and resolve concerns in a timely manner

Preferred Qualifications:

  • Associate’s degree in business administration, healthcare or related field

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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