Quality Assurance Preventative Auditor - 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Quality Assurance Preventative Auditor works under the direction of the Operations Quality Manager and Quality Director. This Auditor performs duties based on Quality Management System (QMS) preventative and quality assurance activities such as: quality manuals, process documentation,  audit schedules, quality audits and reports non-conformances with industry standards on the work completed by VA CCN program operational teams.  The Auditor conducts evaluations and provides feedback to identify & reduce errors, schedules, and tracks audits, provide suggestions to improve processes, and ensure quality and consistency of the Operations program shown through reductions in costs of poor quality. Time will be allocated as noted below:

• 45% Audits, Calibrations - Internal, Audit the Auditor (ATA) error research, rebuttal error research, audit finding feedback, and audit corrections.
• 25% Documentation validation, maturity, and process assessments
• 20% Reporting and tracking of audit results and non-conformances, audit coordination and scheduling.
• 10% Corrective action suggestions

Schedule: Monday - Friday, daylight hours in CST

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. 

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Performs duties based on Quality management systems and industry standards
• Ensures that processes, equipment, and systems are validated to meet quality requirements
• Quality Management System (QMS) Auditing: Conduct regular audits of the QMS to ensure compliance with internal and external standards. This includes reviewing procedures, processes, and quality records
• Preventative Measures Implementation: Identify potential areas of quality failure and implement preventative measures. This involves analyzing processes, identifying risks, and developing strategies to mitigate them
• Document Inspection and Control: Oversee the inspection and validation of documentation related to quality and quality management systems. Ensure that all documents are accurate, up-to-date, and comply with regulatory requirements
• Reporting and Documentation: Prepare detailed reports on audit findings, quality metrics, and process improvements. Maintain comprehensive records of all quality-related activities
• Corrective Actions: When non-conformities or defects are identified, develop, and suggest corrective actions to address these issues. Track action items and response log
• Maintain an audit schedule and coordinate audit activities to complete audits
• Other activities as assigned

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:

• 3+ years of customer service Call Center experience in the healthcare industry
• 1+ years of auditing experience in the areas of customer service, appointment scheduling, provider data load and/or claims
• Intermediate experience in Microsoft Word (creating / updating documents), PowerPoint (creating stakeholder presentations) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas)
• Proven understanding of basic quality principles and programs
• Demonstrated ability to independently manage multiple priorities
• Demonstrated ability to organize material from various sources, analyze and draw logical conclusions
• Proven excellent verbal and written communication skills
• Proven solid analytical skills, attention to detail, decision making skills and exceptional problem-solving skills.
• Proven solid time management and organizational skills
• Demonstrated to prioritize workload to effectively meet established deadlines
• Demonstrated to incorporate frequent changes into workflow and consistently build on knowledge base
• Proven solid interpersonal skills and ability to work independently as well as within a team

Preferred Qualifications:

• Six Sigma white belt
• 2+ years of auditing experience
• Smartsheet experience and intermediate knowledge
• Process narrative and mapping- experience
• Intermediate to advanced analytical experience
• Understanding of intermediate to advanced Quality Programs

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.