Clinical Quality Consultant - Greater Boise, ID

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)

The Clinical Quality Consultant will be responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. You will work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results.

Required Qualifications

• 3+ years of STARS experience


• 5+ years associated business experience within health care industry


• Knowledge base of clinical standards of care, preventive health, and STARS measures


• Strong relationship building skills with clinical and non-clinical personnel. Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels


• Strong communication and presentation skills including proficiency with Microsoft Excel and Powerpoint

Preferred Qualifications

• Registered Nurse with current, unrestricted RN license in the state of Idaho


• Bachelor's degree


• Strong knowledge of the Medicare market, products and competitors


• Experience in managed care working with network and provider relations/contracting


• Professional experience persuading changes in behavior


• Ability to solve process problems crossing multiple functional areas and business units

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, Consultant, HEDIS, STARS, Managed Care, Medicare, Utilization Management, Work from Home, WAH, Optum, UHG, UnitedHealth Group