Quality Senior Program Analyst

UnitedHealth Group•Irvine, CA

15h•Hybrid

About The Position

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 to start Caring. Connecting. Growing together. The Quality Senior Program Analyst will provide operational support, monitoring and direction to the Quality Performance Coordinators (QPCs), responsible for coordinating and implementing quality programs, projects, and tasks, ensuring timely completion of goals. This role will collaborate with internal and external key stakeholders, regional operations, IPA practices, FQHCs, and other community partners, to drive clinical relationships and engagements between members and their care delivery system. This focus of this role is Medi-Cal quality metric performance, which may include but is not limited to HEDIS and CMS Measure gap closure, and CAHPS/HOS patient experience performance. The ideal candidate will be: Self-directed, able to manage multiple priorities, and coordinate complex cross-functional project plans, in order to drive execution of PI strategies Accountable for improvement on HEDIS and STARs gap closure, improved patient experience and optimized patient outcomes Skilled at utilizing data to drive decisions, and has a passion for applying technology to achieve systematic solutions Passionate about continuous improvement, streamlined processes and workflow optimization Energized by new challenges, thrives in a fast-paced, dynamic environment, collaborates well in a team-oriented atmosphere This position follows a hybrid schedule with three in-office days per week.

Requirements

5+ years of supporting programs in HEDIS Quality, Stars, CAHPS/HOS experience
Experience with managed healthcare / care delivery business operations
Experience working directly with clinicians, provider practices and/or care delivery networks
Proven intermediate MS Office skills
Proven PowerPoint Presentation skills
Proven excellent communication skills
Valid CA Driver's license, current insurance and reliable transportation to local provider offices

Nice To Haves

Provider office administrative or call center experience
Experience with Technology-based Solutions (EHRs, IVR, Texting Applications, etc.)

Responsibilities

Under the supervision of the VP, Government Programs and in collaboration with other stakeholders, the Quality Senior Program Analyst will help create and implement programs that improve the health, well-being, and quality of care and service received by our Medi-Cal members, as demonstrated by high quality measure performance.
Drives quality performance (e.g., HEDIS, CMS, CAHPS) by executing strategies on assigned measures and monitors performance
Leads engagement strategy for QPC targeted provider practices; collaborates with regional stakeholder teams/teammates on improvement workplans
Leads NEW QPC onboarding, training and education
Supports QPCs to ensure work plans are successfully executed in a timely manner
Provides quality programmatic support to FQHCs and other strategic community programs and projects
Supports programs integrating in-office embedded and wrap-around support including but not limited to patient scheduling, chart reviews, targeted mailings and IVR campaigns, workflow optimization and visible performance tracking
Provides new office staff/ new and refresher quality overview trainings
Facilitates Cozeva trainings and of best practice workflow implementation; promotes and supports EHR-Cozeva integration opportunities
Collaborates and aligns strategies with other regional support teams (e.g., Provider Relations and Population Health)
Maintains performance tracking related to own and QPC team assigned projects, ensuring timely and accurate execution and documentation; uses performance reports to track and trend progress
Participates in required meetings related to Medi-Cal Pay for Value (P4V) performance, measure updates, etc.
Stays informed on all member outreach activities and communication schedules, and shares updates to assigned practices
Supports continuous performance improvement through research and testing of new initiatives to assess success and scalability
Provides continuous feedback to manager and team on performance, barriers, opportunities, and action plans for all assigned practices
Other duties as assigned