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Hours Full-time, Part-time
Location West Palm Beach, FL
West Palm Beach, Florida

About this job

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. As a Senior Quality Analyst you will monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements. 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) UnitedHealthcare Quality Management & Performance is an integrated team serving all UnitedHealthcare businesses. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing brand and reputation for high-quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment.Primary Responsibilities:


Design, create and implement Quality Improvement projects and initiatives

Extract appropriate metrics from SQL or Oracle environments

Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending, and presenting information for quality management planning and management needs

Provide analytical support and expertise when compiling and reporting information

Develop and present recommendations and alternatives for management and executive review

Assume responsibility for data integrity among various internal groups and / or between internal and external sources

Lead and / or mentor associates

Assist in developing department strategic action plans including identification of objectives, goals and strategies

Develop and implement effective analysis, research and evaluation of quality management metrics

Develop, analyze and monitor new, routine and ad hoc reports using multiple data sources and systems

Extract monthly MedMeasures summary reports and identify gaps

This role will involve provider engagement

Requirements

Required Qualifications:

Minimum of Bachelor's Degree
3+ years of healthcare experience
3+ years' experience extracting data in SQL / Oracle environment
Ability to navigate Microsoft Access Databases and VBA
Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment. Create, edit, save and send documents utilizing Microsoft Word
2+ years' experience developing and implementing performance improvement projects, or using data to develop intervention strategies to improve outcomes
1+ years' experience with quality measures such as HEDIS and Stars
Demonstrated ability to manage multiple projects simultaneously
Ability to collect, analyze, and present data
Preferred Qualifications:

Prior experience creating reports related to quality improvement / performance outcomes
Pharmaceutical, nursing, pharmacy and other healthcare related positions that involved HEDIS
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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 quality analyst, quality analyst, quality management, quality improvement, performance outcomes, trending, forecasting, HEDIS, SQL, Oracle, West Palm Beach, Jupiter, Boynton Beach, Lake Worth, Riviera Beach, Palm Beach Gardens, FL, Florida