Associate Director, Clinical Quality- Las Vegas, NV

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 and help people live healthier lives while doing your life's best work.

We are looking for an Associate Director, Clinical Quality to join our team in Las Vegas, NV.

Responsibilities:

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  Develop a business strategy to support Community & State Goals
  


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  Focus on Medicaid Program to meet contractual requirements
  


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  Have access to the HEDIS/Medmeasures teams and tools and therefore improve HEDIS Rates
  


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  Oversee the closing of Gaps In Care (GIC) through the Value Based Consulting (VBC) and Southwest Medical Associates (SMA) program
  


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  Implement the Clinical Practice Consultants (CPC) program
  


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  Monitor and improve the rates for the 5 priority measures (AWC, W15, W34, CDC and AAP)
  


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  Preview effective studies for each of the programs implemented in Nevada
  


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  Incorporate more best practices to increase the closing of gaps in care
  


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  Improve the HEDIS scores

Requirements:

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  RN preferred


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  Minimum of 5 years managed care experience strongly preferred


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  Minimum 5 years QI experience required


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  Must have background in HEDIS and NCQA


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  CPHQ preferred

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

Diversity creates a healthier atmosphere: 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.

Keywords: Quality, HEDIS, Registered Nurse, Managed Care