Clinical Quality Consultant - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Positions in this function are responsible for direction and guidance on clinical quality improvement and management programs including NCQA Health Plan Accreditation, as well as NCQA LTSS Distinction.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Responsible for developing and preparing documentation for NCQA and other accreditation survey submissions
• Works closely with regional quality staff, health plan staff, and internal business partners to build and document compliance with accreditation standards
• Interpret complex data and draws conclusions
• Complete reports that provide analysis of data related to key quality projects
• May present results of data analysis to diverse stakeholders
• Organizes and/or participates in readiness assessments in preparation for accreditation survey submissions
• Interface with accreditation agencies and other regulatory and compliance bodies
• Participates in the development and distribution of accreditation best practices
• Serves as a technical advisor for accreditation compliance
• Develops policies and procedures that support accreditation activities
• Supports implementation of quality structure at regional and national levels
• May require occasional overnight travel for accreditation reviews

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 2+ years of experience and solid knowledge of managed care related to health plan quality
• 2+ years of solid, documented experience in successfully preparing and submitting NCQA Health Plan accreditation surveys
• 2+ years of experience in quality improvement including a high level of expertise of quantitative and qualitative analysis
• Proficiency in Microsoft Office Products

Preferred Qualifications:

• CPHQ or other quality designation
• Familiar with Medicaid regulatory requirements

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.