If you are within 60 miles of a commutable distance from the Mission Valley area of San Diego, CA, you will have the flexibility to work from home and the office in this hybrid role as you take on some tough challenges.

　　Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together.

　　The Senior Project Coordinator position is critical to supporting our Public Sector San Diego Quality Improvement team. This position provides administrative support for a team of behavioral health clinicians, clinical quality analysts, and certified medical coders to ensure the clinical quality of our behavioral health provider networks. The Senior Project Coordinator oversees successful completion of clinical appeals, provider audits, contract and regulatory audits, and quality improvement projects.

　　This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm.

　　Our office is located at Valley area San Diego, CA. Employees will be required to 3 onsite and 2 days from home.

　　We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

　　All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

　　Primary Responsibilities:

　　Oversee successful completion of clinical appeals, provider audits, contract audits, regulatory audits, and quality improvement projects. Responsible for the coordination and completion of projects across various functional areas. Ensure projects are completed on time and in scope. Support project team meetings. Create process maps. Make presentations to leadership on project updates. Support contract and regulatory audits. Support clinical inter-rater reliability activities. Support compliance and quality assurance activities. Data collection, tracking, and trending of clinical appeals. Data collection and tracking of provider audits. Prepare correspondence. Prepare and validate data reports. Oversee provider and operation complaint assignment. Work collaboratively with individuals at all levels throughout the organization and with our stakeholders.

　　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 / GED Working towards or have achieved certification in project management, LEAN, or Six Sigma. Experience in supporting project teams. Microsoft Word (creating documents), Microsoft Excel (creating and editing basic formulas, Pivot tables), and Microsoft PowerPoint (creating of slide, exporting projects into other programs, modify slides), Microsoft Outlook (managing calendars setting up meetings) Microsoft VISIO (creating process maps), Microsoft SharePoint 18 years of age OR older

　　Preferred Qualifications:

　　Experience using Microsoft Power BI dashboards.

　　Telecommuting Requirements:

　　Reside within 60 miles of a commutable distance from the Mission Valley area of San Diego, CA. Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy. Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

　　Soft Skills:

　　Excellent oral and written communication skills. Excellent analytic skills; including ability to clearly articulate issues and business needs. Independent problem-solving, prioritization, and organizational skills.

　　California Residents Only: The hourly range for California residents is $22.45 - $43.89 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

　　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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