Uhc Jobs – Quality Coordinator

Job Description:

• The Quality Coordinator is responsible for the facilitation, implementation and coordination of the quality improvement and management program, including NCQA accreditation and HEDIS improvements.
• This position must reside within a commutable distance of the Louisville, KY office. You will work in the office as needed and have the flexibility to telecommute* the rest of the time.

Job Responsibilities:

• Provide annual evaluation of program design and efficacy as well as development of work plans to address performance improvement
• Participate in or coordinate with other department projects as needed
• Develop and prepare documentation for NCQA and other accreditation surveys submissions
• 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.
• May do additional duties as assigned
• Monitor and oversee execution of performance and activities to improve health and quality outcomes and effective medical management (e.g., HEDIS, CAHPS)
• Collaborate with multiple functions that may include Clinical, Physician Engagement, Member Experience, Benefit Design / Product,
• Compliance, Network, Behavioral Services, and Pharmacy as needed to drive the quality improvement program
• Initiate program improvement projects and activities to drive outcomes

Job Requirements:

• Quality knowledge of HEDIS, CAHPS
• If 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 orders
• Excellent verbal communication
• Excellent writing skills
• Knowledgeable of the managed care / health insurance industry, products and services
• Proficiency with Microsoft Office Suite to include Word, Outlook and Excel

Qualification & Experience:

• Bachelor’s degree
• 1+ years of experience with demonstrated functional knowledge of process improvement, quality improvement, and change management
• Research experience
• 3+ years of experience in the healthcare industry

Job Details:

Company: United HealthCare

Vacancy Type:  Full Time

Job Functions: Quality Assurance

Job Location: Louisville, KY, US

Application Deadline: N/A

Apply Here

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