Remote Medicaid Quality Improvement Consultant

Careerwebsite; Northern (KY); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealthcare is seeking a Clinical Practice Consultant to improve clinical quality outcomes through measure-specific initiatives and provider engagement. This role partners with providers and internal teams to support continuous quality improvement, including provider education, performance monitoring, and medical record review.

The position focuses on preventive health, coordinating with Health Plan staff to meet state and federal requirements, with travel up to 50% across Washington State

Qualifications

• 2+ years of Medicaid/managed care experience.
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Responsibilities

• Educates providers on clinical documentation and quality metrics to drive improvement.
• Partners with practices to deploy programs and assess trends in quality measures.
• Serves as SME for HEDIS/State Measures and develops educational materials.
• Represents Health Plan at community events and outreach focused on quality.
• Identifies barriers to care and coordinates local strategies to close gaps.
• Monitors documentation issues and drives resolution with care teams.

Skills

Healthcare data analysis

Quality improvement

Clinical guidelines

Communication

Education

RN license or clinical background

Tools

Microsoft Outlook

Excel

PowerPoint

Job description

UnitedHealthcare is seeking a Clinical Practice Consultant to improve clinical quality outcomes through measure-specific initiatives and provider engagement. This role partners with providers and internal teams to support continuous quality improvement, including provider education, performance monitoring, and medical record review.

The position focuses on preventive health, coordinating with Health Plan staff to meet state and federal requirements, with travel up to 50% across Washington State