Job Description
Title: Clinical Quality Consultant – Remote
Location: Minneapolis MN; US
Job Category: Clinical
Job Type: Full-time
Travel Percentage: –10 % of the Time
Job Description:
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 and start doing your life’s best work.
As a Clinical Quality Consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our E&I Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills, strong interpersonal skills and the ability to deliver on time. Success in this role will require ability to prioritize, multitask, plan, as well as being flexible, resourceful, and self-driven.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- This role will support the UHC E&I Quality book of business and associated teams.
- Create, implement, manage and execute national programs that are requested by our E&I Health Plans.
- Create data requests to identify specific members to be included in programs. (Includes UCEE, QDAR and UGAP and others).
- Document program progress for key indicators on scorecards, summaries and key documents.
- Work closely with E&I Quality RVPs and MQDs and all other health plan operational leadership representing Clinical Program Delivery (Member Engagement).
- Become a vendor relationship owner as needed, through your partnership managing programs.
- Process any needed documents for billing, security assessment, and process improvement.
- Lead cross functional team meetings offering guidance, best practices and solutions.
Core Competencies:
- Detail oriented with solid project management experience
- Must be able to manage time efficiently and prioritize effectively
- Ability to multitask in a dynamic setting and work well under pressure
- Solid organizational skills to track requests and deliverables and meet deadlines
- Must be pro-active, a critical thinker and possess excellent problem-solving skills
- Ability to work both independently and within a team setting
- Ability to learn quickly and desire to take on new challenges
- Solid desire to make continuous improvements in all areas of responsibility
- Ability to follow through and be resourceful
- Ability to interpret requestors’ data criteria and intent
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:
- 3+ years of program management experience
- 2+ years of experience leading meetings
- 2+ years of experience using PowerPoint, Excel, Outlook, and Word
- 1+ years of HEDIS measure knowledge
Preferred Qualifications:
- Clinical degree or equivalent
- 3+ years of HEDIS measure knowledge
- 1+ years leveraging process improvement
- 1+ years of experience using SharePoint
- SQL experience
- Experience evaluating effectiveness of quality programs
- Advanced proficient with Microsoft Excel
Soft Skills:
- Ability to influence without authority
- Be a team player willing to cover and learn other roles
- Be Solid operational awareness.