Sr Clinical Quality Analyst - Remote MUST work PST

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The Quality Operations Specialist is responsible to facilitate planning, developing, managing, and implementation of a Pacific Northwest (PNW) region-wide Quality Improvement Program and CAHPS and HOS strategy, in order to optimize results in healthplan CMS Star Ratings. This person will be able to manage multiple priorities, coordinate complex project plans, facilitate cross-functional team discussion, keep meticulous minutes, and coordinate follow ups within established timelines, in order to drive execution of strategies across PNW region. This person would produce analytic support and analysis as it relates to quality performance and CAHPS/HOS strategies within PNW region.

The ideal candidate is energized by new challenges, thrives in a fast-paced, dynamic environment, collaborates well in a team-oriented atmosphere and has a passion for applying technology to achieve systematic solutions.

If you are located in PST, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Under direction of the Director of Quality, Regional Quality leadership and in coordination with Optum National Clinical Performance, facilitate the development and implementation a PNW region-wide CAHPS/HOS Patient Experience and Quality Improvement program. The goals of the program may include:
  
  
  
  • Implementing standardized CAHPS/HOS reporting across network and in partnership with internal patient experience teams
  • Optimizing/centralizing shared resources across network
  • Provide consultative support to patient experience initiatives within the PNW network, in partnership with national patient experience teams
  
  
  
  
• Facilitate development of programs and projects, which may include:
  
  
  
  
  • Develop reporting as it relates to quality program and CAHPS/HOS performance in PNW
  • Assist with vendor management and/or project management support for PNW vendors that support quality performance in PNW
  • Analysis of data as it relates to quality performance and patient experience
  • Create CAHPS/HOS member and provider engagement communication plans (e.g. text message campaigns, member/provider newsletter articles, provider office posters, etc.)
  • Implementation and management of CAHPS/HOS member packet and other tools/ resources
  
  
  
  
• Assist with other programs, special projects, and/or activities requested by the quality leadership or other PNW leadership team, which may include (but not limited to):
  
  
  
  
  • Programmatic content may include clinical quality, population health activity, approaches to improving work processes, and standard work for multiple lines of business, including Medicare Advantage, Medicaid, DSNP/CSNP, MSSP, and/or value-based care
  • Facilitation of cross-functional team rapid process improvement projects and Lean management training courses. Effective process improvement facilitation includes accurate charting (scoping) of the work and team, conducting assessment and planning work with appropriate identification of data to collect, processes to map, and projects to pursue with operational leaders and teams
  
  
  
  
• Coordinate across highly matrixed organization teams with collaboration and communication on CAHPS/HOS initiatives with overlapping processes and accountability
• Project management accountability for CAHPS/HOS initiatives to assess feasibility and success prior to full scale deployment; manage implemented initiatives to ensure successful programs, and evaluate programs successes and opportunities
• Consistently supports compliance by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting noncompliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and current corporate and client policies and procedures
• Collaborate with leaders and all business lanes across PNW organization on all CAHPS/HOS and Quality initiatives as assigned

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:

• Minimum High school diploma or GED
• 5+ years of experience in Health Care Administration with 2+ years in managed care (e.g., Medicare, Medicaid, Commercial)
• 2+ years of CAHPS/HOS and HEDIS Quality experience
• Excel and data experience - Ability to create, manipulate and formulate Excel spreadsheets using v-lookup, pivot tables, charts and graphing
• Working knowledge of managed healthcare and care delivery business operations
• Intermediate MS Office skills
• PowerPoint Presentation skills
• Proven excellent communication and presentation skills

Preferred Qualifications:

• Six Sigma or Lean training/certification
• PMP certification
• CPHQ certification

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all 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.

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.