Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs San Antonio Texas
Company: Optum
Location: New Braunfels
Posted on: July 2, 2025
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Job Description:
WellMed, part of the Optum family of businesses, is seeking a
Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs to join our
team in San Antonio, TX. Optum is a clinician-led care organization
that is changing the way clinicians work and live. As a member of
the Optum Care Delivery team, you’ll be an integral part of our
vision to make healthcare better for everyone. At Optum, you’ll
have the clinical resources, data and support of a global
organization behind you so you can help your patients live
healthier lives. Here, you’ll work alongside talented peers in a
collaborative environment that is guided by diversity and inclusion
while driving towards the Quadruple Aim. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while Caring. Connecting.
Growing together. This position is responsible for the coordination
of HEDIS and STARs data gathering process within the clinic
setting. This role is responsible for the education to the clinic
on quality measures and coordinates strategies for closing gaps.
Evaluates the quality and completeness of clinical documentation
processes by performing quality medical record reviews, assisting
in the improvement of the clinical documentation process,
maintaining accurate records of review activities, developing
formal training and improvement programs and maintaining up-to-date
knowledge of regulatory (HEDIS/STARs) standards and guidelines.
Primary Responsibilities: - Analyze data, evaluate for possible
data integrity and data deficits and document findings - Analyze
and trend HEDIS/STAR rates, identify barriers to improvement of
rates and create interpretive exhibits - Obtains quality detail
report and flags patient’s charts with the missing measures - Works
closely with local leadership to execute quality strategies -
Supports and assists PCPs/clinics with quality data collection -
Provides reports and monitors performance at local level - Engages
PCP and clinic staff in developing strategies to close quality gaps
- Supports and improves communications between market and corporate
departments - Maintains education/knowledge base of HEDIS/STARs
standards and guidelines - Performs all other related duties as
assigned - This is an office/Field Base Position In 2011, WellMed
partnered with Optum to provide care to patients across Texas and
Florida. WellMed is a network of doctors, specialists and other
medical professionals that specialize in providing care for more
than 1 million older adults with over 16,000 doctors’ offices. At
WellMed our focus is simple. We’re innovators in preventative
health care, striving to change the face of health care for
seniors. WellMed has more than 22,000 primary care physicians,
hospitalists, specialists, and advanced practice clinicians who
excel in caring for 900,000 older adults. Together, we're making
health care work better for everyone. 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: - Licensed
Vocational/Professional Nurse - 3 years of healthcare experience to
include experience in a managed care setting - 3 years of
experience with data analysis/quality chart reviews. Must be able
to review data and provide recommendations for improvement -
HEDIS/STAR experience or participation with similar regulatory
reporting - Experienced using Microsoft office applications,
including databases, word-processing, and excel spreadsheets -
Driver’s license and access to reliable transportation that will
enable you to travel to client and/or patient sites Preferred
Qualifications: - 2 years of college, in pursuance of a Bachelor’s
or Associate’s degree - 2 years of experience working with
HEDIS/STAR measures Physical & Mental Requirements: - Ability to
lift up to 25 pounds - Ability to sit for extended periods of time
- Ability to stand for extended periods of time - Ability to use
fine motor skills to operate office equipment and/or machinery -
Ability to receive and comprehend instructions verbally and/or in
writing - Ability to use logical reasoning for simple and complex
problem solving The hourly range for this role is $19.86 to $38.85
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. OptumCare 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. OptumCare is a drug-free workplace.
Candidates are required to pass a drug test before beginning
employment.
Keywords: Optum, New Braunfels , Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs San Antonio Texas, Healthcare , New Braunfels, Texas