Primary Source Verification Specialist LVN
Company: Optum
Location: San Antonio
Posted on: June 4, 2025
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Job Description:
WellMed, part of the Optum family of businesses, is seeking a
Primary Source Verification Specialist LVN 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 Primary Source Verification
process and coordination of HEDIS and STARs data gathering process
within the eCW and DataRaps applications. -This role 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, ensures all data submitted
to the health plan meets the HEDIS/Star technical specifications
for medical records. -
Primary Responsibilities:
Analyze data, evaluate for possible data integrity and data
deficits and document findings
Over reads the data entry of non-standard supplemental data
obtained from medical record review
Navigate multiple documentation systems and obtain medical record
sections supportive of HEDIS/Star measures
Review of scanned records and data entry into DataRaps
application
Support chart chase process by requesting records from provider's
offices as needed
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
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
HEDIS/STAR experience or participation with similar regulatory
reporting
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
Experienced using Microsoft office applications, including
databases, word-processing, and excel spreadsheets
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
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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, Round Rock , Primary Source Verification Specialist LVN, Healthcare , San Antonio, Texas
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