Senior Quality RN - Remote in Texas

UnitedHealthcare; Houston (TX); Remote; USD 71,000 - 141,000; Full time

Job summary

UnitedHealthcare seeks a Senior Quality RN to lead quality improvement initiatives in Texas. This remote role focuses on driving Performance Improvement Projects with a commitment to health equity and compliance with quality standards. The ideal candidate is a data-driven individual with a robust nursing background aiming to make a meaningful impact in health care.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Qualifications

• 3+ years in health plan quality improvement.
• 2+ years developing and implementing Performance Improvement Projects.
• Experience presenting findings to leadership.

Responsibilities

• Lead development and evaluation of Performance Improvement Projects.
• Analyze data to assess project effectiveness.
• Collaborate on quality initiatives and enhance member experience.

Skills

Data analysis

Problem-solving

Education

Active RN license in Texas

Tools

Microsoft Office Suite

Job description

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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.

As a Senior Quality RN, you will play a key role in driving quality improvement initiatives, with a strong focus on regulatory Performance Improvement Projects (PIPs). This role is ideal for a self-motivated, analytical thinker who enjoys applying research and statistical methods to real-world health care challenges.

You’ll lead the full lifecycle of PIPs-from design and intervention development to implementation, evaluation, and refinement. Your work will directly influence health outcomes and support compliance with state and national quality standards.

If you loved your statistics class, enjoy solving complex problems with data, and are looking for a long-term role where your work truly matters-this is the job for you.

This is a challenging, fast-paced position that requires resilience, precision, and a passion for quality. We’re looking for someone who’s ready to dig in, grow with the team, and stay for the long haul.

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

Primary Responsibilities

• Lead the development, execution, and evaluation of PIPs in alignment with regulatory requirements
• Design and test interventions aimed at improving member health outcomes
• Analyze and interpret data to assess project effectiveness and identify opportunities for improvement
• Prepare and present reports, findings, and recommendations to internal stakeholders and regulatory agencies
• Collaborate cross-functionally to support quality initiatives and enhance the member experience
• Ensure compliance with NCQA, HEDIS, and state-specific quality standards (e.g., TX HHSC)
  
  

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

• Active, unrestricted RN license in Texas
• 3+ years in health plan quality improvement
• 2+ years developing and implementing PIPs
• 2+ years of experience with PDSA (Plan-Do-Study-Act) cycles
• Solid data analysis skills with experience preparing summary reports
• Experience presenting findings to leadership and external stakeholders
• Familiarity with regulatory documentation and submission processes
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• High-speed internet access and a dedicated home workspace
• Must reside in Texas
  
  

Preferred Qualifications

• 2+ years of experience in Medicaid managed care
• Experience with Texas Medicaid PIPs and health equity
• Proven solid writing, analytical, and problem-solving skills
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $71,600 to $140,600 annually 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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