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Clinical Quality Program Manager – Telecommute

UnitedHealth Group

This is a Contract position in Edison, NJ posted March 27, 2020.

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. Bring your skills and talents to a role where you’ll have the opportunity to make an impact on a huge scale. This is the place to do your life’s best work.(sm)
The Clinical Quality Program Manager works to improve quality and recommend process improvements.   
Primary Responsibilities:
  • Positions in the function are responsible for end-to-end Quality Assurance process activities within UnitedHealth Care Community & State
  • Working on risk identification, diagnose process issues, identify process improvement solutions and process improvement implementation using principles of process excellence and related tools
  • This position will also support quality auditing, analysis, reporting and developing plans and programs
  • Continuous engagement and collaboration with HEDIS team members and Health Plan Leadership is essential
  • Responsible for health promotion activity plan, development and implementation
  • Call center experience is essential and basic data and project management skills are also required; must be able to analyze data to improve workflow and outcomes to meet quality goals
  • Demonstrate understanding of relevant organizations’ operations, products and applications, strategies, processes, and / or business priorities in order to build effective solutions
  • Engage and often directly support Quality auditing activities to validate process performance
  • Support the analysis of quality auditing findings as it relates to business process information (e.g., metrics; analytics) to identify key issues, trends, and potential root causes (e.g., training issues; lack of understanding by user community) that point to improvement opportunities
  • Support engagement with relevant stakeholders (e.g., end users; SMEs; sponsors) to establish appropriate criteria and goals (e.g., efficiency; effectiveness) in order to direct investigation into problems and potential solutions
  • Support the estimation and / or quantify potential benefits, costs, and resource requirements associated with recommended business process solutions
  • Support the communication of potential impacts and risks associated with implementing proposed solutions, progress of actions taken to resolve risks and gaps identified
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.  

Required Qualifications:
  • Undergraduate degree in healthcare related field
  • 2+ years of experience in Medicaid Managed Care
Preferred Qualifications:
  • Experience in Health Improvements/Health Education
  • Experience in Quality of Care
  • Experience in Management
  • Masters Degree in Health Care
Careers 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) 
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: Quality Analyst, Clinical Quality Analyst, Analyst, Project Manager, Project Management, Analysis, Data Analysis, UnitedHealth Group, UHG, UHC, Telecommute