- Tell me what abstraction accuracy percentage would typically be acceptable? …
- How would you go about training staff in HEDIS-compliant practices? …
- What has been your biggest HEDIS-related challenge and how did you overcome it?
How Do I Get A Job Doing HEDIS If I’ve Never Done HEDIS?
What advice do candidates give for interviewing at HEDIS
- A flexible attitude was recommended on July 30, 2017 by a Provider Network Pricing Analyst from Virginia Beach, VA
What candidates say about the interview process at HEDIS
- For each year’s evaluation project, a manager from United HealthCare conducted interviews with potential temporaries over the phone. Questions regarding the extent of office skills and knowledge of medical terminology were shared on February 12, 2020 by a HEDIS specialist at UnitedHealthcare in Moline, Illinois.
- A manager from United HealthCare conducted interviews over the phone with potential temporaries for each year’s evaluation project. Questions regarding the extent of office skills and knowledge of medical terminology were shared on February 12, 2020 by a HEDIS specialist at UnitedHealthcare in Moline, Illinois.
How candidates received their first interview at HEDIS
- By my resume with Indeed. Shared on November 15, 2018 – Health Program Rep. – Quality Management – San Antonio, TX.
Could you please describe the typical kinds of writing you do and tell me a bit about each?
What writing tasks do you find most difficult? What difficulties do recent graduates encounter as they transition from “academic writing” to “workplace writing”?
What would you say about the ratio of written to spoken communication at work?
Transforming healthcare and millions of lives as a result begins with the values you uphold and the passion you bring to achieve your life’s best work. HEDIS Quality Manager – Dallas, TX Job Description Do you have compassion and a passion to help others? The Quality Manager is in charge of ensuring that programs are implemented consistently in order to facilitate a minimum 4-star quality rating. These initiatives should enable the contracted network to comprehend and support the goal of changing the way senior healthcare is delivered. This will support the market’s HEDIS/Star program’s financial viability and ensure that members receive full-quality care. The duties of this position call for a variety of skills, such as strategic planning and analysis abilities, a thorough knowledge of HEDIS and coding, management breadth to direct and motivate, highly developed communication abilities, and the capacity to create clear action plans and drive processes in the face of frequently ambiguous problems with numerous interdependencies. Any issues that remain unresolved as a result of following the standard procedure will be facilitated by this position. Manages Clinical Quality Consultants (CQC) I, II, and Senior CQC, and is in charge of all aspects of staff development, including hiring, training, coaching, and development. Maximizes staff performance and technical expertise through clearly defined objectives, training, skill development, and leadership to ensure quality services to all clients. Continuously work to maintain positive relationships while protecting the interests of the organization. Takes responsibility for the entire work process and offers helpful information to ensure physician partners have the support they need to meet initiatives. Analyzes data while working with others and having conversations with business partners to find potential root causes of problems. g. , newsletters, emails, outreach calls, teleconferences, conferences, and on-site meetings) Develops and coaches staff to facilitate strategic business meetings with physician groups and their staff Oversees, guides, and ensures competency of the Quality Market Staff Assists corporate and local education team and offers input on tools used to educate quality staff and other local provider support staff Ensures that all education objectives are met, both on a formal and ad-hoc basis The following qualifications are necessary: a bachelor’s degree in nursing, ancillary health care, health care administration, business administration, public administration, or a related field (5+ years of related experience in quality/HEDIS/CMS Stars, and ICD10/CPT/CPT II coding knowledge, provider relations, and 2+ years of supervisory experience may be substituted in lieu of a bachelor’s degree). Full COVID-19 vaccination is a requirement for this role, as is Excel proficiency. Candidates must adhere to state requirements if they are located in states that require COVID-19 booster doses. In order to comply with all client requirements and federal, state, and local laws, UnitedHealth Group will obtain the necessary proof of immunizations, including boosters when necessary, prior to employment. Candidates must be able to carry out all essential job duties with or without the aid of reasonable accommodations. Preferred Qualifications: Masters degree in healthcare administration, business administration, or a related field Project Management experience Strong clinical standards of care, preventative health, and STAR measures knowledge base Strong financial analytical background with Medicare Advantage plans (Risk Adjustment / STARS Calculation models) Exceptional analytical skills Additionally, certain positions and locations mandate complete COVID-19 vaccination, including boosters, as a necessary job requirement. In order to comply with all COVID-19 vaccination laws at the federal, state, and local levels as well as client requirements, UnitedHealth Group will ask prospective employees for the necessary information before hiring. All necessary job duties must be performed by candidates, with or without the use of reasonable accommodations. Careers with WellMed Failure to comply with the vaccination requirement may result in the withdrawal of an employment offer or termination of employment. Our focus is simple. Were pioneers in preventative healthcare, working to transform the way seniors receive healthcare. Through primary and multi-specialty clinics, contracted medical management services, and other means, we had an impact on more than 500,000 lives, primarily Medicare-eligible seniors in Texas and Florida. Our goal at Optum, a member of the UnitedHealth Group family of companies, is to help patients understand and manage their health in order to pursue wellness throughout their lives. Our staff and providers are chosen for their commitment to and emphasis on preventative, proactive care. For you, that means one outstanding team and a single chance to complete your life’s work. WellMed was established in 1990 with the goal of becoming a physician-led organization that could transform the way senior healthcare is provided. By giving our patients the care they require from doctors who genuinely care about them, we specialize in assisting them in maintaining their health through the WellMed Care Model. In Texas and Florida, we collaborate with numerous Medicare Advantage health plans and anticipate further expansion. OptumCare is an Equal Employment Opportunity/Affirmative Action employer, which means that all qualified candidates will be given consideration for employment without regard to their 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. Diversity fosters a more positive work environment. OptumCare is a drug-free workplace. Candidates must successfully complete a drug test before starting work. Apply UnitedHealth Group Greenville, TX Full Time Free CV Review HEDIS Quality Manager – Dallas, TX Published on 09/10/2022
35 UnitedHealth Group Interview Questions & Answers
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Check out our other sets of company interview questions.
The following careers are the ones that this company typically hires for; use these career-focused practice sets to help you succeed in your interview.
Practice with our topic-based interview question sets if you want to ace your upcoming interview.
Practice from one of our industry sets to find more interview questions that are relevant to your company.
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FAQ
What is HEDIS job description?
Healthcare employers frequently use HEDIS (Healthcare Effectiveness Data and Information Set) as a tool to assess the effectiveness of various medical treatments and services. In order to ensure quality is attained and maintained, HEDIS coordinators play a crucial role in that process by reviewing and analyzing data and metrics.
What is HEDIS experience?
Government regulators, health plans, provider organizations, employers, and others rely on the Healthcare Effectiveness Data and Information Set (HEDIS®) to measure and improve health care quality and to compare plan performance.
What does a HEDIS reviewer do?
To gauge and enhance quality, they gather and analyze information from patient charts and other medical records kept by hospitals, doctors’ offices, and other healthcare facilities.
How do I prepare for a healthcare interview?
- Dress appropriately.
- Make sure to give firm handshakes and maintain strong eye contact.
- Pose thoughtful questions.
- Make yourself memorable to hiring managers.
- Take notes when appropriate.
