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  • Fitness Consultant

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Clinical Quality Consultant

2 months ago


Spokane, United States UnitedHealth Group Full time

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. Read on to fully understand what this job requires in terms of skills and experience If you are a good match, make an application. 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.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 teamsCreate, implement, manage and execute national programs that are requested by our E&I Health PlansCreate 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 documentsWork 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 programsProcess any needed documents for billing, security assessment, and process improvementLead cross functional team meetings offering guidance, best practices and solutionsCore Competencies:Detail oriented with strong project management experienceMust be able to manage time efficiently and prioritize effectivelyAbility to multitask in a dynamic setting and work well under pressureStrong organizational skills to track requests and deliverables and meet deadlinesMust be pro-active, a critical thinker and possess excellent problem-solving skillsAbility to work both independently and within a team settingAbility to learn quickly and desire to take on new challengesStrong desire to make continuous improvements in all areas of responsibilityAbility to follow through and be resourcefulAbility to interpret requestors’ data criteria and intentYou’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:Current and unrestricted licensed LPN, RN or RPh3+ years of program management experience2+ years of experience leading meetings2+ years of experience using PowerPoint, Outlook and Word1+ years of HEDIS measure knowledgeAdvanced level proficiency with Microsoft ExcelPreferred Qualifications:3+ years of HEDIS measure knowledge1+ years of experience leveraging process improvement1+ years of experience using SharePointPrevious SQL experienceExperience evaluating effectiveness of quality programs *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyCalifornia, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. 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.Brand: Employer & IndividualJob ID: 2223341Employment Type: Full-timeJob Area: ClinicalPosted Date: 24/06/2024 Remote working/work at home options are available for this role.