Clinical Quality Consultant - Telecommute in Minnetonka, MN

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

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 and help people live healthier lives while doing your life's best work.(sm)The Clinical Quality Consultant for the UnitedHealthcare Individual & Family Plans (IFP) clinical team plays a critical role in overseeing health plan accreditation and population health programs for members in 18 states. This position is responsible for actively supporting NCQA health plan accreditation and related quality improvement activities as well as the development, operations, implementation, and management of population health programs to help IFP members live healthier lives. This position works with a number of internal and external partners to support IFP accreditation and population health programs. This individual will maintain solid relationships with our internal partners to drive improved health outcomes and must possess a growth mindset and ability to thrive in fast-paced environments. This individual will report to the Vice President of Clinical Quality & Health Equity for the Individual and Family Plans.

If you are located in Minnetonka, MN, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Support ongoing monitoring and compliance with NCQA Health Plan Accreditation standards, assist in preparing any related documentation, and ensure IFP population health programs align with requirements
• Lead implementation of quality improvement projects and initiatives in support of NCQA Health Plan Accreditation requirements across 18 IFP states
• Facilitate and maintain vendor relationships related to population health programs / initiatives, such as health risk assessments and social determinants of health
• Troubleshoot population health program operations and implementation issues and present to management as required
• Support complex projects that require cross functional coordination. Works closely with all stakeholders to accomplish mutual goals and strategies in order to drive projects to successful completion, on schedule and within budget
• Strategically and efficiently utilize enterprise resources, leveraging existing Government Programs or enterprise population health programs when possible

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:

• Bachelor’s Degree
• 4+ years of relevant work experience
• Proven business analysis skills, including experience working with and interpreting large data files and utilizing data visualization tools, such as Tableau
• Advanced or higher level of proficiency with Excel and PowerPoint

Preferred Qualifications:

• Experience managing large, complex health care projects to achieve key business objectives and developing and managing business plans to achieve objectives
• Proven ability to solve unique and complex problems with broad impact on a health care business
• Appreciation for the individuals served by state and public healthcare programs
• Adaptable and flexible style of collaborating with key stakeholders in setting direction
• Ability to self-manage and to motivate others to achieve agreed-upon results, with a focus on driving disciplined, fact-based decisions and executing with discipline and urgency
• Ability to balance multiple accountabilities and organizational change
• Advanced operational focus with demonstrated skills in implementation and/or capability management
• Excellent verbal and written communication skills
• Exceptional relationship and teaming skills, with proven ability to collaborate and quickly build and maintain relationships across diverse functions
• Success working with ambiguity and under tight deadlines
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

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