Clinical Peer Reviewer Job at Optum, Dallas, TX

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  • Optum
  • Dallas, TX

Job Description

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.

This position is per diem (as needed). Employees are required 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 4 weeks of on-the-job training. 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.

Primary Responsibilities:

  • This individual supports the InterQual Clinical Content Department within the Decision Support organization.
  • This position assists with the day-to-day project coordination activities of clinician consultants (i.e., External Peer Reviewers) and maintenance of the Clinical Consultant Database (CCDB) to meet strict timelines.
  • Responsible for managing and reporting on consultant report cards. Additional responsibilities include the management of consultant processes and supporting documentation.
  • Proactively identify, source, and secure qualified clinical External Peer Reviewers, leveraging medical societies, content developer input, and EBM articles/guidelines.
  • Process recruitment packets and perform credentialing and maintenance of the consultant database. Develop orientation materials for different formats of content to ensure quality and efficient external peer reviews.
  • Implement new initiatives to increase awareness among EPRs of the InterQual brand.
  • Maintain metrics of InterQual Clinical Content Department consultant needs and prioritize based on time frames needed.
  • Maintains Consultant Database to include accurate, complete, and timely documentation in database to ensure usable data for entire team.
  • Ongoing review of existing processes and consulting documentation to ensure streamlined and updated.

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
  • Must be 18 years of age OR Older
  • Physician and other clinician sourcing skills, including using databases and social media
  • Mature Recruiting patterns attune to creating connections and building momentum
  • Ability to work any of our shift schedules during our normal business hours. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

  • MS Office Suite - Intermediate User

Telecommuting Requirements:

  • 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
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group - approved symptom screener. When in a UnitedHealth Group building

Soft Skills:

  • Reliable Organizational Skills
  • Proactive nature and strategic thinker
  • Team Oriented and Collaborative
  • Ability to Work in a Fast-Paced Environment with a sense of urgency
  • Must possess excellent professional verbal and written communication skills and be effective at building relationships inside and outside of the organization
  • Must possess strong external and internal customer focus
  • Team player with the ability to complete tasks without supervision. Must be results-oriented with attention to detail and the ability to multitask
  • Ability to prioritize workload to meet project deadlines
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $16.00 to $20.43 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job Tags

Hourly pay, Minimum wage, Full time, Work experience placement, Local area, Remote job, Shift work,

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