Senior Clinical Quality RN – STARS/HEDIS Leader (Hybrid)

UnitedHealth Group; Phoenix (AZ); Hybrid; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

401(k) contribution

Job summary

UnitedHealth Group seeks a Sr. Clinical Quality Consultant RN to drive STAR and HEDIS performance across the Inner West Valley region of the Phoenix metro.

This hybrid role involves directing quality initiatives, collaborating with regional teams, and occasionally visiting patient homes to close care gaps. The ideal candidate is an experienced RN with healthcare background and provider-facing skills, able to travel locally up to 50%.

Qualifications

• Must be a registered nurse licensed in AZ or a compact state.
• 4+ years of healthcare experience.
• 2+ years of provider-facing interactions.
• Must have a driver's license and reliable transportation.

Responsibilities

• Develop business plans to improve STARS/quality performance.
• Provide analytical interpretations and STARS/HEDIS summaries to provider groups.
• Be SME for STARS-related activities within the territory in a matrix setup.
• Attend and present in weekly/Monthly/Quarterly business reviews related to STAR activities.
• Analyze provider structure, EMR utilization, and operations to improve STAR performance.
• Develop STARS/HEDIS presentation materials for provider meetings.
• Visit patient homes in the Inner West Valley region to close care gaps.

Skills

Registered Nurse license (AZ/Compact)

Healthcare experience

Provider-facing interactions

MS Office proficiency

Travel willingness 50%

Driver's license

Job description

UnitedHealth Group seeks a Sr. Clinical Quality Consultant RN to drive STAR and HEDIS performance across the Inner West Valley region of the Phoenix metro.

This hybrid role involves directing quality initiatives, collaborating with regional teams, and occasionally visiting patient homes to close care gaps. The ideal candidate is an experienced RN with healthcare background and provider-facing skills, able to travel locally up to 50%.