Risk Quality Management Associate - Hybrid

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Under the direction of the Senior Manager, Risk Management, Optum Massachusetts, the Risk & Quality Management Associate provides day-to-day risk management and patient safety support across all Optum Massachusetts sites. Performs a variety of duties related to data input, analysis, trending and tracking of claims and risk management information. Performs a variety of duties involving multiple high-level administrative projects. Assist managers or others in administrative functions. Has frequent contact with the public and high-level staff personnel on matters requiring tact and knowledge of department policies and procedures. Location: 385 Grove Street, Worcester, MA Hours: Monday - Friday between 8am & 5pm. If you are located in Worcester, MA, you will follow a hybrid schedule with two in-office days per week.

Establish and lead an atmosphere of Just Culture Actively promotes and utilizes the safety event reporting system (RLDatix) for adverse events, including near misses, occurring at all Optum Massachusetts sites Conducts data aggregation and analyses to assess performance improvement opportunities and measure improvements Reviews insurance carrier information and reports to outside healthcare entities requesting malpractice insurance coverage verifications Assists with developing warning and termination letters for patients as directed Collects, evaluates and distributes relevant data concerning patient injuries; aggregate data summaries, monthly/quarterly trends; provides aggregate analysis of risk data and trending of losses, etc. Assist in the maintenance of Peer Review files consisting of claims, suits, PCEs, and patient complaints for each practitioner Performs various administrative functions for managers or others to relieve him/her of responsibility and detail Prepares and submits requisitions for supplies, equipment or maintenance service with appropriate signatures Prepares and distributes notices of correspondence to all Managers, Supervisors, Directors and Physician Leadership Prepares, copies and maintains records of correspondence, takes telephone messages, schedules appointments and meetings, supplies routine answers where possible, and places outgoing telephone calls Engages in extensive contact with all levels of personnel in a professional and confidential manner. Promptly and courteously receives all visitors to the department Maintains files and records usually of a highly confidential nature Prepares minutes of meetings, memos, and letters as required Works within established policy, precedent and guidelines. Work is broad, varied and complex Involves ownership of ongoing projects or one-of-a-kind tasks. Requires multi-tasking. Will need to be resourceful and track down information to find answers or solve problems and make decisions. Expected to create efficiencies and streamline processes as required Establishes own work plan and prioritizes, using and/or modifying established procedures, to ensure timely completion of assigned work in conformance with established departmental policies and standards; problems lacking clear precedent are usually reviewed with supervisor prior to taking action Complies with health and safety requirements and with regulatory agencies such as DPH, etc. Complies with established departmental policies, procedures, and objectives Enhance professional growth and development through educational programs, seminars, etc. Attends a variety of meetings, conferences, and seminars as required or directed Performs other similar and related duties as required or directed Regular, reliable and predicable attendance is required You'll be rewarded and recognized for your performance in an environment that will challenge you and