Field Based Clinical Practice Performance Coordinator (Boston, MA)
Company: Optum (UnitedHealth Group)
Category: Medical & Clinical Operations / Quality & Population Health
Location: Boston, Massachusetts (field based; up to ~75% travel within the market)
Work Mode: Field / On-site + virtual (dedicated home workspace required)
Schedule: Full-time, Monday–Friday, 8:00 a.m. – 5:00 p.m. (occasional overtime)
Compensation / Salary: $20.00 – $35.72 per hour (based on experience, market & eligibility factors)
Training: 4 weeks paid, aligned to your schedule
Job Summary (Healthcare Quality & Outcomes Focused)
Optum is seeking a Field Based Clinical Practice Performance Coordinator to partner with provider practices and quality teams to close HEDIS® and STAR rating gaps, improve preventive screening compliance, and optimize Medicare Advantage quality outcomes. You’ll review medical records, perform data collection & entry, coordinate appointments, support chart retrieval, and analyze quality opportunities—all while ensuring HIPAA compliance, population health impact, and patient satisfaction across high-volume UHC networks in the Boston region.
Key Responsibilities
Review medical records and highlight STAR/HEDIS quality opportunities for clinical teams.
Perform data collection, entry, image uploads, chart retrieval & quality monitoring.
Locate screening results/documentation to close care gaps (no clinical interpretation required).
Coordinate appointments (PCP/specialists), late-to-refill outreach, and local clinic event scheduling.
Conduct outbound & inbound calls to members and providers to facilitate care and chart collection.
Track, document, and report outcomes accurately across multiple systems/tools.
Partner with practice leadership to optimize workflows and remove barriers to closing care gaps.
Analyze reports (Excel) to identify open quality opportunities at member/provider level.
Maintain strict HIPAA compliance and secure PHI handling.
Support quality improvement campaigns to elevate plan/contract Star measures.
Travel (up to 75% as market needs dictate) to targeted provider sites.
Required Skills & Qualifications
High School Diploma / GED (minimum); 18+ years of age.
1+ year of healthcare industry experience.
Proficiency with Microsoft Word & Outlook; ability to navigate, filter & analyze reports in Excel.
Working knowledge of HIPAA requirements.
Reside within one hour of Boston, MA.
Valid driver’s license & proof of insurance; ability to travel up to 75%.
Dedicated, private home workspace with approved high‑speed internet.
Preferred Qualifications
1+ year working in a physician/provider/medical office.
EMR & HEDIS experience; knowledge of medical terminology.
ICD‑9/10 & CPT exposure (≥1 year).
Background as Pharmacy Technician, Medical Assistant, or LPN.
2+ years of telephonic customer service in healthcare.
Perks & Benefits
Hourly pay: $20.00 – $35.72 (based on full‑time employment & eligibility).
Comprehensive medical, dental, vision coverage.
401(k) with company contribution & equity stock purchase plan.
Incentive & recognition programs.
Paid training, career growth & learning pathways across UnitedHealth Group.
Company Description
Optum, part of UnitedHealth Group, leverages technology, data, and clinical expertise to improve health outcomes for millions. By partnering closely with providers and health plans, Optum drives quality performance (HEDIS, STAR), population health, and value‑based care across the United States.
Work Mode: Field / On-site with virtual components (Boston, MA; up to ~75% travel)
Call-to-Action
If you’re passionate about closing gaps in care, HEDIS/STAR quality improvement, and population health analytics, apply now to join Optum’s Boston quality team as a Field Based Clinical Practice Performance Coordinator.
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