Clinical Quality Consultant - Telecommute

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. (sm)
 
Positions in this function are responsible for various accreditation activities and other relevant clinical quality improvement and management activities. Supports and manages accreditation related quality projects and compliance with NCQA or other accreditation requirements. Responsible for ensuring consistent documentation and compliance with accreditation standards in multiple health plans. Responsible for the reports and analysis related to service and clinical activities that support compliance with accreditation requirements. Reports to National Director, Accreditation.         
 
Primary Responsibilities:

Responsible for developing and preparing documentation for NCQA and other accreditation surveys submissions
Works closely with regional quality staff, health plan staff, and internal business partners to build and document compliance with accreditation standards
Serves as a technical advisor for accreditation compliance
Organizes and/or participates in readiness assessments in preparation for accreditation survey submissions
May interface with accreditation agencies and other regulatory and compliance bodies
Participates in the development and distribution of accreditation best practices
Develops policies and procedures that support accreditation activities
Supports implementation of quality structure at regional and national levels

Required Qualifications:


Undergraduate degree or 2 years of solid, documented experience in NCQA accreditation

2 years experience solid knowledge of managed care and market regulatory requirements related to clinical
2 years experience with NCQA or URAC accreditation in a managed care plan
Excellent time management and prioritization skills.
Strong oral and written communication skills.
Proficiency in Microsoft basic with Excel or Access, Word Intermediate with Word and PowerPoint
Strong interpersonal skills.
 Preferred Qualifications:


CPHQ or other quality designation 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.
 
 
Job keywords: Clinical Consultant, Quality Consultant, Telecommute, Work from home, Telecommuting, Telecommuter, Remote