Sr. Clinical Quality Analyst - Telecommute-West Coast - Full-time / Part-time

UnitedHealthcare's Quality Management & Performance is an integrated team serving all UnitedHealthcare businesses, focused on improving the health of our members, enhancing our operational effectiveness, reinforcing brand and reputation for high-quality health plans and helping members lives healthier lives. 
 
Quality Management & Performance combines talented individuals from many areas of quality, including HEDIS, CAHPS and Accreditation.  Our goal is extraordinary performance that exceeds the expectations of the constituents, customers and members we serve.
 
In addition to supporting UnitedHealthcare as a whole, this position focuses on clinical quality improvement for our members. 
 
In addition to working with the Quality Management & Performance HEDIS staff, this position will collaborate and work closely with other key areas of quality including National and Regional Accreditation teams, CAHPS teams, CMS/SNP teams and others. 
 
This position reports to the Regional Performance Manager.
 
 
Primary Responsibilities:

Assist with the implementation of the National HEDIS improvement plan, including the HEDIS data collection and clinical improvement projects
Participate in determination of annual HEDIS strategy as well as other clinical improvements
Collaborate with the HEDIS Project Managers in the collection of RFI, ROADMAP and HOQ information for HEDIS
Participate with Regional Quality Team to identify and implement region and or state-specific projects to improve HEDIS scores, CMS Star Ratings and other metrics.
Participate in regional quality programs and committees as needed
Identify opportunities and actively participate in process improvements related to enhancing health plan quality
Assist in developing targeted educational reminders for clinical/preventive initiatives
Other responsibilities as assigned

Join the Quality Management & Performance Team and live Our United Culture everyday! Integrity, Compassion, Relationships, Innovation and Performance.
 

Required Qualifications:

Healthcare/Health Plan experience
Strong data management and/or project management skills
Excellent team development skills 
Strong interpersonal skills
Excellent time management and prioritization skills
Excellent written and verbal communications skills
Strong proficiency with Microsoft Office applications, including: Word, Excel and PowerPoint
Preferred Qualifications:

BS/BA Degree or equivalent experience
Minimum of 2 years Healthcare/Health Plan experience
Minimum of 2 years HEDIS experience and/or knowledge
Clinical and/or Health Education experience (RN or LPN desired)
Experience working with HEDIS software vendors (management, building relationships, issue resolution etc.)
Experienced in medical record review
Proficiency with Microsoft Access
SAS and/or SQL experience
Basic statistical knowledge and application of continuous quality improvement concepts, such as Six Sigma or PDSA
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.
 
Job Keywords: Quality Management, HEDIS, RFI, telecommute, telecommuting, telecommuter