Clinical Program Manager - Remote in Western Colorado

UnitedHealthcare; Grand Junction (CO); Remote; USD 71,000 - 141,000; Full time

Job summary

Ein innovatives Unternehmen sucht einen engagierten Fachmann für klinische Qualitätsverbesserung, um die Gesundheitsversorgung zu revolutionieren. In dieser Rolle werden Sie mit verschiedenen Interessengruppen zusammenarbeiten, um Programme zu leiten, die die Patientenerfahrung und die Effizienz der Gesundheitsversorgung verbessern. Ihre Fähigkeiten in Projektmanagement und Kommunikation werden entscheidend sein, um die Integration von Technologien im Gesundheitswesen voranzutreiben. Wenn Sie eine Leidenschaft für die Verbesserung der Gesundheitsversorgung haben und in einem dynamischen Team arbeiten möchten, ist diese Position ideal für Sie.

Benefits

Umfassendes Leistungspaket

Aktienkauf

401k-Beiträge

Qualifications

• Bachelor-Abschluss oder gleichwertige Erfahrung im Gesundheitswesen erforderlich.
• 5+ Jahre Erfahrung im medizinischen Bereich nach dem Abschluss.

Responsibilities

• Leitung und Unterstützung von klinischen Qualitätsverbesserungsprogrammen.
• Zusammenarbeit mit internen und externen Partnern zur Verbesserung der Patientenversorgung.

Skills

Projektmanagement

Zusammenarbeit

Kommunikationsfähigkeiten

Analytische Fähigkeiten

Education

Bachelor-Abschluss in Gesundheitsmanagement

5+ Jahre medizinische Erfahrung

2+ Jahre Erfahrung im Bereich öffentliche Gesundheit

Tools

Gesundheitsinformationstechnologie

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Supports Clinical Quality Improvement objectives by facilitating and coaching designated clinical practices in the implementation of redesign and quality improvement strategies to improve patient, provider and health care team satisfaction, patient outcomes, provider office efficiency, and management of total cost of care. Responsible for the development and ongoing administration of clinical quality improvement programs, providing program implementation support, measurement standards, and revisions that incorporate best practices with proven outcomes. Assists in assessing progress, recommending strategies to achieve goals, and facilitating sustainability. Uses project management skills and collaborates with the Manager and other departments to coordinate projects and initiatives. Maintains active involvement with internal and external Clinical Quality Improvement activities by collaborating proactively with stakeholders as directed by the Program Manager.

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

Primary Responsibilities:

1. Collaborate with internal and external entities to maintain and enhance RMHMO's reputation as a leader in managed health care, providing leadership by example to embed the organizational culture.
2. Respect confidentiality and maintain confidence as per the Confidentiality Security Agreement, which is critical for this position.
3. Deliver designated Clinical Quality Improvement programs and projects to guide health care team redesign efforts toward population management, including training on quality improvement principles.
4. Create highly functioning practices and communities focused on maximizing the integration and effective utilization of HIT/HIE technologies at the point of primary care delivery to improve cost, quality, and experience of care.
5. Perform practice assessments collaboratively with practices, identifying opportunities for improvement and compliance, and involved in developing assessment tools and processes.
6. Provide practice support to facilitate coordination, development, teaching, implementation, and evaluation of provider practices participating in Clinical Quality Improvement Programs.
7. Introduce and educate new provider practices to the program as directed.
8. Support practice participants through various communication methods, providing feedback on assessments and progress reports.
9. Support the clinical performance management team by collaborating on program design and implementation that build positive relationships among stakeholders.
10. Identify innovative ways to work with providers to meet member and health plan needs.
11. Participate in cross-functional workgroups as a 'practice expert' to inform stakeholders of successes, barriers, and impacts.
12. Use systematic approaches and critical thinking to guide teams in creating practices that improve cost, quality, and experience of care.
13. Utilize interpersonal and meeting facilitation skills in meetings, providing informed recommendations and collaborating with other clinical departments as requested.
14. Develop and maintain relationships with provider practices, employees, and community participants.
15. Use established measurements to monitor provider practice progress towards sustainability.
16. Facilitate the use of health information technology resources to improve practice efficiency and patient outcomes.
17. Develop, organize, and evaluate data to resolve problems or determine actions with the QI team.
18. Participate in departmental meetings and planning activities.
19. Maintain relationships with state entities such as HCPF.
20. Support various Clinical Quality Improvement activities using excellent organizational skills and proactive self-direction.
21. Assist with event planning and logistics for provider education.
22. Provide support in areas of expertise to meet contract deliverables, including value-based contracts.
23. Work independently to solve moderately complex problems, seeking guidance for complex issues.
24. Maintain confidentiality of sensitive information.
25. This role requires travel and reliable transportation, meeting Colorado licensure and insurance requirements if driving.

You'll be rewarded and recognized for your performance in an environment that challenges you and provides clear development opportunities.

Required Qualifications:

1. Bachelor's degree in health care management, nursing, behavioral health, or related field, or equivalent experience.
2. 5+ years of progressive medical-related experience post-graduation.
3. 2+ years in public health, quality improvement, and ambulatory settings.
4. General knowledge of healthcare and coverage issues.
5. Excellent written and presentation skills.
6. Ability to work collaboratively across diverse functions and levels.
7. Resident of Colorado.

Preferred Qualifications:

1. Experience with quality improvement processes.
2. Experience with Health Information Technology.
3. Clinical office experience.

*Remote work is subject to UnitedHealth Group’s Telecommuter Policy.

The salary range is $71,600 to $140,600 annually, based on full-time employment and various factors such as experience and location. Benefits include a comprehensive package, incentives, stock purchase, and 401k contributions.

Application will be posted for at least 2 business days or until a sufficient candidate pool is reached. Early removal is possible due to application volume.

Our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to equity and addressing health disparities, especially among marginalized groups.

UnitedHealth Group is an Equal Opportunity Employer and a drug-free workplace, requiring a drug test before employment.