Quality Improvement Coordinator - Phoenix, AZ

Davita Inc.; Phoenix (AZ); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health care organization is seeking a Quality Improvement Specialist to enhance clinical quality measures. The candidate will be responsible for managing QI projects and ensuring compliance with regulatory standards. This role offers flexibility through remote work arrangements while requiring occasional on-site attendance in Phoenix, AZ.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Equity stock purchase options

Qualifications

• 2+ years working on quality improvement initiatives.
• Experience with CMS Core Set and HEDIS performance measures.
• Strong skills in using QI tools and techniques.

Responsibilities

• Manage quality improvement projects for member utilization.
• Assist health plan in maintaining State contracted QI standards.
• Monitor quality performance measures and develop improvement plans.

Skills

Project management

Quality improvement

Data analysis

Communication

Organizational skills

Excel proficiency

Education

Bachelor's degree or equivalent experience

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.

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.

This position requires an experienced individual familiar with the quality management (QM) and general operations of a Medicaid and/or Medicare plan.

This position is responsible for supporting the clinical quality improvement program. The ability to participate in quality improvement teams, implement quality improvement initiatives, support data acquisitions, and assess the efficacy of quality improvement interventions is needed for this role. This position also requires an ability to professionally communicate, influence, and build internal relationships and partnerships that will support the success of the quality improvement program. Responsibilities include monitoring quality performance measures; assisting with the development of plans and programs to support continuous quality improvement using HEDIS measures and other tools; and oversight and monitoring of quality improvement activities related to regulatory contractual requirements.

This role is a full-time remote position. Must be able to attend onsite meetings, when needed.

If you reside in the Phoenix, AZ area and be able to travel to the local office as needed, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Manages projects designed to improve member utilization of preventative health services


• Assists health plan to maintain State contracted QI standards


• Assists in designing and implementing QI activities for the health plan


• Assists QI Director in meeting all regulatory quality requirements


• Assists with the maintenance of Quality policies & procedures


• Utilize QI tools identify opportunities, measure, track, and evaluate performance on QI initiatives (PDSA, RCA, fishbone diagrams, key driver diagrams, run charts, FMEA, etc)

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:

• 2+ years working on quality improvement initiatives to improve CMS Core Set and HEDIS performance measures utilizing various QI tools and techniques


• 2+ years of project management experience or 2+ years of quality improvement experience


• Experience with continuous learning and the ability to adapt to changing circumstances


• Experience working in managed care quality department in Medicaid/Medicare or equivalent experience in non-managed care setting


• Skills and experience with focusing on organizational efforts on improving clinical quality performance measures


• Skills and experience developing and implementing performance improvement activities


• Skills and experience understanding and utilizing data to develop intervention strategies to improve outcomes


• Skills and experience reporting on quality improvement program outcomes


• Experience with effectively managing priorities


• Excel proficiency to include mastery of lookup functions, creating and modifying pivot tables, advanced chart design, and use of forecast and trend tools


• Proven solid organizational skills and ability to work both independently and collaboratively, with attention to detail


• Reside in or near Phoenix, Arizona

Preferred Qualifications:

• Certified Professional in Healthcare Quality (CPHQ)


• Experience contributing to regulatory required reports and deliverables


• Demonstrated problem solving skills, with the ability to systematically analyze problems, draw relevant conclusions, and devise appropriate courses of action

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

The hourly range for this role is $28.61 to $56.06 per hour 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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