TRICARE Clinical Quality Management Study Analyst - Phoenix, AZ

TRICARE Clinical Quality Management Study Analyst
Talk about meaningful work. Talk about an important role. Let's talk about your next career move.  Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. It's an inspiring role and it can inspire your career.  Find out more about these opportunities to do your life's best work. (sm)
This position works under the supervision of the CQM Studies Manager. Develops and conducts clinical quality studies (CQS), clinical quality improvement initiatives, (QIIs), Clinical quality improvement activities (QIAs) and retrospective focused reviews. Assist CQM staff and other departments with clinical quality studies, focused reviews, and quality improvement activities. Maintains compliance with the TRICARE Operations Manual Chapter 7, Section 4 (CQMP) requirements. Contributes to the development of the Annual Clinical Quality Management Program Plan and Annual Clinical Quality Management Report by conducting research .  Ensures that rigorous scientific methodology is used in all  work products. Integrates URAC and NCQA standards in clinical studies, focused reviews, and quality improvement activities. Participate on quality committees.
This is an office position located at 2222 West Dunlap - Phoenix, Arizona
Primary Responsibilities:


Develops new research initiatives and/ or clinical quality studies or activities.

Trains Clinical Quality Management staff on data abstraction activities for studies

Maintains confidentiality and non-discoverability of all activities

Collaborates with departments to identify, develop and evaluate programs which improve the delivery of clinical quality health care

Contributes to creating, reviewing, and revising of QM study plans

Contributes to the development of study policies, and procedures

Participates in regional quality studies including obtaining baseline data, conducting interventions, monitoring, re-measurement, reporting

Works with HEDIS- Like measures, and develops interventions

Conducts and completes quality improvement interventions

Assist UHC M&V staff with accreditation activities

Assist in the development of UHC M&V Patient Safety Initiatives

Refer potential recommendations from studies to Program Integrity, Case Management, Disease Management, and Potential Quality Issues to Clinical Quality

Performs all other duties as assigned

Required Qualifications:


Unrestricted RN license in the state of Arizona

Bachelor’s Degree

Demonstrated formal writing experience

3+ years clinical experience

1 year experience conducting research or studies

Comprehensive knowledge of research methodology, HEDIS measures, benchmarking

Intermediate computer skills with emphasis on  Excel, Access, and  PowerPoint
Preferred Qualifications:


Master’s degree in Nursing, Administration or Business 

2 years Quality Management experience

CPHQ experience
Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That's why UnitedHealthcare is the organization that's called on to serve them and their loved ones. We're all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It's a genuine opportunity 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: Registered Nurse, Nurse, RN, writing, clinical, conducting research, studies,knowledge of research, methodology, HEDIS measures, benchmarking Excel, Access,PowerPoint, quality, CPHQ, Quality management, data, analyze, Phoenix, AZ, Arizona