Per Diem Clinical Quality Analyst - National Remote

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 makes 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.

This position is part time (up to 20 hours/week) from January – April. Employees are required to have flexibility to work any of our shift schedules during our normal business hours. It may be necessary, given the business need, to work occasional overtime. We offer 1 week of on-the-job training with the ability to complete full training needs during the first week of class. The hours of training will be aligned with your schedule. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Jobs in this function provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement. Extensive work experience within own function. Work is frequently completed without established procedures. Works independently. May act as a resource for others. May coordinate others’ activities.- Extensive work experience within own function. Meet and maintain production and quality expectations for all assigned measures. Perform daily responsibilities with acute attention to detail. Transition between priorities and abstraction projects based on program or client needs. Responsible for managing and utilizing confidential information from medical records in an appropriate manner following designated guidelines including HIPAA and company policies/guidelines. Applies HEDIS® concepts and principles in the completion of abstraction and review process to ensure full recognition of delivered care for the benefit of the member. Ability to work in a self-directive manner and apply critical thinking/problem solving skills by referencing available Technical Specifications, Business Process Documentation, Job Aids, and other tools for clarity/guidance as needed Demonstrates adaptability in a highly changing environment, quickly and effectively shifting focus as priorities change