Quality Improvement Consultant

UnitedHealth Group • Boise, ID

344d • $28 - $56 • Remote

About The Position

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. The Quality Improvement Consultant is responsible for the facilitation, implementation and coordination of the quality improvement and management program, including NCQA accreditation and HEDIS improvements and state specific quality initiatives. Through documentation collection and management, monitoring, measuring, and reporting on key metrics, the Quality Improvement Consultant assists the Idaho Quality team in meeting quality standards and state contractual requirements. If you are located in Idaho, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

• 3+ years of experience in the healthcare industry
• 1+ years of experience with demonstrated functional knowledge of process improvement, quality improvement, and change management
• Research experience
• Proficiency with Microsoft Office Suite to include Word, Outlook and Excel
• Proven excellent writing skills
• Proven excellent verbal communication
• Ability to travel up to 25% of the time
• Resident of Idaho

Nice To Haves

• Knowledgeable of the managed care / health insurance industry, products and services
• Quality knowledge of HEDIS, CAHPS

Responsibilities

• Develop and prepare documentation for NCQA and other accreditation survey submissions
• Provide annual evaluation of program design and efficacy as well as development of work plans to address performance improvement
• Collaborate with multiple functions that may include Clinical, Member Experience, Operations, Compliance, Network, Behavioral Services, and Pharmacy as needed to drive the quality improvement program
• Initiate program improvement projects and activities to drive outcomes
• Implement policies and procedures to align with program goals and compliance requirements
• Represent the health plan and provide subject matter expertise at internal clinical and quality meetings, regulatory meetings, and any relevant community partner meetings, workgroups, etc.
• Monitor and oversee execution of performance activities to improve health and quality outcomes and effective medical management (e.g., HEDIS, CAHPS)
• Participate in or coordinate with other department projects as needed

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities