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. 

Primary Responsibilities:

• Provides leadership to and is accountable for the performance of Clinical Quality Consultants and data abstractors
• Direction and guidance on network clinical quality performance and improvement
• Provide analytical interpretation of quality performance and support business plan development to measure and improve performance
• Be the subject matter expert for quality-related activities within the market and develop effective strategies to improve quality performance
• Develop and present in various business review meetings related to quality

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.

Years of post-high school education can be substituted/is equivalent to years of experience.

Required Qualifications:

• 4 years of healthcare experience, including experience in an ACO or managed care setting
• 2 years of experience in value-based contracts and executing HEDIS/STARS strategy
• 2 years of experience in provider-facing interactions, including provider education
• 2 years of experience with data analysis and the ability to review data and implement improvement strategies
• Advanced experience using Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel spreadsheets
• Ability to travel locally up to 25% with occasional overnight travel

Preferred Qualifications:

• Registered Nurse and/or other clinical degree
• Clinical data abstraction/quality chart review experience
• Billing and CPT coding experience
• CMS audits and regulatory reporting experience
• Medicare and/or Medicaid experience

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.