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UnitedHealth Group

UnitedHealth Group is looking for a Manager of Clinical Quality – Telecommute in PA  #JobRecruitmentInPagosaSprings #TopPlaceHiringPagosaSprings #ManagerJobsPagosaSprings

Talk about meaningful work. Talk about an important role. Let’s talk about your next career move. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. The Quality team is seeking a Manager Clinical Quality. You will monitor and support the health plan quality improvement initiatives with particular emphasis on HEDIS and State Performance measures. You’ll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives. Here’s your opportunity to discover your life’s best work.(sm) If you are located in Pennsylvania, you will have the flexibility to telecommute* as you take on some tough challenges.  Primary Responsibilities:     Oversees the implementation of plan quality improvement program Works to coordinate the work within C&S Quality in order to improve HEDIS performance and to close gaps in care Manages Quality work plan programs and activities Collaborates across business segments to achieve goals and targets Develops and maintains positive relationships external state organizations within the scope of Quality Improvement Continuously monitors HEDIS and state performance measure results and adjust programs to insure meeting targeted goals Supports PIPS, accreditation, and regulatory audits as needed Interviews, hires, and supervises quality department staff Develops, mentors and coaches staff Oversee quality quarterly review meetings with state partners Youll 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:          Bachelors degree OR RN licensure in the state of PA Experience with HEDIS and NCQA – this includes HEDIS and or NCQA project experience including audit and project management of the submissions to the state and NCQA QI project experience with QIP and PIPs (quality improvement projects) Experience with outside audit organizations such as EQROs  Leadership experience (e.g., Review work of others, Serve as an expert in their field, Serve as a mentor and leader, Lead functional or segment teams or projects, Motivate and inspire team members) Experience with managed care and insurance industry  Experience in writing reports and analyzing performance data  Experience creating detailed reports and project management If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications:  2+ years demonstrated Management experience with responsibility for team performance management Performance Driven Quality improvement experience within a health plan Clinical experience / background Experience with Corrective Action Plans Ability to make independent decisions Change management experience and demonstrated skills Demonstrated staff development skills Strong team building, collaboration and motivational skills Results-oriented Ability to work in a fast-paced environment Experience with excel (working with pivot tables) and creating PPT presentationsCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That’s why you’ll find some of the most amazingly talented people in health care here. We serve the health care needs of low-income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high – risk pregnancy. Our holistic, outcomes – based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life’s best work.(sm)*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Job Keywords: RN, Registered Nurse, Quality, Manager, Quality Manager, Manager Clinical Quality, HEDIS, NCQA, STARS, Medical Record, Project Improvement, Quality Improvement, Performance Improvement, Data Management, C&S, Community & State, UHC, UnitedHealth Care, UHG, UnitedHealth Group, Telecommute, Telecommuting, Telecommuter, Remote, Work From Home, Philadelphia, Pittsburgh, PA, Pennsylvania Recommended SkillsTeam Performance ManagementLeadershipProfessional DevelopmentManagementTeam BuildingHealthcare Effectiveness Data And Information SetRecommended JobsClinical ManagerAtlanta,GaClinical Manager, Atlanta,GaManager of Clinical Quality – Telecommute in PAUnitedHealth GroupWork From HomeFull-TimeClinical Team ManagerOpen Systems TechnologiesAtlanta$60.00 – $75.00/HourClinical Program Manager – TelecommuteUnitedHealth GroupAtlanta

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