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HEDIS Clinical Quality Manager - Telecommute

$79.7k - $142.6k

UnitedHealth Group

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)You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Assist with the implementation of the HEDIS program for vision, including the HEDIS data collection and clinical improvement projects Participate in determination of annual HEDIS strategy as well as other clinical improvements Participate with Vision’s HEDIS Team to identify and implement region and or state-specific projects to improve HEDIS scores, CMS Star Ratings and other metrics.Identify opportunities and actively participate in process improvements related to enhancing quality Assist in developing targeted educational reminders for clinical/preventive initiatives Vendor Oversight at the Project levelYou'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:Undergraduate degree or equivalent work experience2+ years HEDIS experience or development of clinical programs2+ years of experience working with Medicare or Medicaid, vision experience a plus2+ years managing projects from initial strategy through implementationDemonstrated ability to assist with focusing activities toward a strategic direction and achieve targetsIntermediate to advanced level proficiency with Microsoft Word, Excel and PowerPointIf you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications:2+ years HEDIS experience and/or knowledge Experience working with HEDIS software vendors (management, building relationships, issue resolution etc.)Knowledge of CMS STARs Soft Skills:Proven data management and/or project management skills Excellent interpersonal skills Excellent time management and prioritization skills Excellent written and verbal communications skills Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SMColorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Role is also eligible to receive bonuses based on sales performance. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, in addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.For more information on our Internal Job Posting Policy, click here.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: Manager, Supervisor, Leadership, Quality, Quality Improvement, Process Improvement, Performance Improvement, Auditing, Health Care Analytics, Managed Care, Healthcare, HEDIS, Project Management, Medicaid, Medicare, CMS, STARs, Telecommute, Work from Home, UHG, UHC, UnitedHealthcareBrand: Employer & IndividualJob ID: 934081Employment Type: Full-timeJob Area: Clinical

Vacancy posted 4 days ago
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