Sr. Clinical Quality Analyst

UnitedHealth Group; Seattle (WA); On-site; USD 48,000 - 87,000; Full time

Job summary

UnitedHealth Group is seeking a Health Care Program Manager to assist with patient experience programs, provide project management support, and facilitate small-scale improvement projects. The role involves data analysis, reporting, and collaboration with the Advanced Analytics and Clinical teams.

Responsibilities include planning education for physicians and staff, coordinating lean initiatives, and supporting both internal and external review programs.

Qualifications

• 3+ years of health care experience, preferably related to programs managed (i.e., patient experience or quality).
• 2+ years of experience in a clinical setting.
• Experience with process improvements.

Responsibilities

• 50% Program and Project Management Support and Small-Scale Improvement Project Facilitation: acts as subject matter expert for patient experience program and lean improvement; develops work plans, timelines, and documentation; identifies opportunities to improve workflow and clinical outcomes.
• 25% Data Analysis, Synthesis, Reporting and Evaluation: supports teams to identify metrics and uses data to drive experience and process improvements.
• 15% Education or Training coordination: plans and organizes education for physicians and clinical staff; may provide training on program content.
• 10% Coordinate 1st/3rd party review programs: works with clinicians and leaders on reputation management elements.
• Promotes positive work environment and adheres to HIPAA/compliance requirements.
• Integrates lean principles to improve efficiency and reduce costs.

Skills

Healthcare experience

Clinical setting experience

Process improvement

Lean methodology

Project management

Microsoft Office

Tools

Microsoft Office

Job description

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. Join us in making healthcare work better for everyone through people-led, responsible AI whileCaring. Connecting. Growing together.

Under general supervision, assists with development and management for patient experience projects and programs. Provides program management support and small-scale improvement project facilitation, data analysis, synthesis, reporting and evaluation, and coordination/ facilitation of program-based education or training.

Program content focus may include patient experience and approaches to improving work processes and standard work. Evaluate, analyze, and manage data related to patient experience. Plans and organizes education programs for physicians and clinical staff.

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment.

Primary Responsibilities:

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment.

• 50% Program and Project Management Support and Small-Scale Improvement Project Facilitation:
  • Serves as a subject matter expert for our patient experience program, project management and foundational lean improvement application to improve workflow and build reliable methods. Facilitates and supports improvement teams, including development of work plans, timelines, project support and documentation. As needed evaluates workflow to identify process improvement opportunities applying lean principles, methods, and tools to enhance team performance on quality of clinical care, efficiency, service, and patient safety. Recommends policy and procedure changes to improve patient care and clinical outcomes. May review/develop policies/procedures/guidelines/standard work in collaboration with operations and as needed by the Patient Experience Department
• 25% Data Analysis, Synthesis, Reporting and Evaluation:
  • Assists to supports teams to identify appropriate project measurement and monitors, trends, and utilizes data to drive experience and process improvement. Collaborates Advanced Analytics Department, or other support departments as needed, to provide relevant reports or information to complete project tasks
• 15% Coordination / Facilitation of Program Based Education or Training:
  • Plans, coordinates, and organizes education programs or training for physicians and clinical staff as needed. May provide training on program content. Facilitate and support the Clinic's clinical initiatives utilizing lean principles, methods, and tools
• 10% Coordination / Facilitation of 1stand 3rd Party Review Programs:
  • Works with clinicians, leaders, and the patient experience committee in helping coordinate our elements of our reputation management program
• All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patients
• Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond openly and appropriately to feedback regarding performance from a supervisor
• Performs all duties in a manner which promotes and supports the Core Values Optum Care Washington
• Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction
• Frequently must follow written and oral instructions as well as complete routine tasks independently
• Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs Agreements
• Ensures confidentiality of patient information following HIPAA guidelines and TEC policies
• Attends training to meet requirements of the job position and as needed or mandated by Optum Care Washington policies, Div. of Occupational Safety & Health (DOSH), OSHA, L&I and other state/federal regulations
• Has regular and predictable attendance
• Non-Essential Duties & Responsibilities:
  • 5%Other duties as assigned

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:

• 3+ years of health care experience, preferably related to programs managed (i.e., patient experience or quality)
• 2+ years of experience in a clinical setting
• Experience with process improvements

Preferred Qualifications:

• Certified Patient Experience Professional (CPXP)
• Experience in Lean methodology
• Project management experience

Knowledge, Skills & Abilities:

Note that these requirements are representative, but not all-inclusive, of the knowledge, skill, and ability required to perform this job

• Knowledge:Proficient understanding of patient experience disciplines in healthcare. Knowledge and experience with Microsoft Office programs (Word, Excel, PowerPoint), Outlook, email, and internet. Familiarity in navigating and working in the electronic medical record preferred
• Skills:Excellent written and oral communication skills. Effective project management skills. Solid organizational and time management skills. The QI Consultant is skilled in facilitation of meetings, small process improvement efforts and can apply lean concepts such as built-in-quality, waste, flow, pull, 5S, standard work and auditing, and needs to be proficient at analytics and project management techniques
• Abilities: Able to prepare and facilitate presentations/ discussions. Ability to problem solve issues independently to identify barriers and support team to accomplish goals as well as work with teams collaboratively to solve system issues. Able to understand, apply and coach small teams on basic lean methodology, tools, and principles to help build reliable methods and standard work

Physical And Mental Demands:

• The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job

Physical Demands:

• While performing the duties of this job, employees are regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus

Mental Demands:

• While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; may use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intense deadlines with frequent interruptions; and interact with managers, staff, customers, patients, the public and others encountered in the course of work, some of whom may be dissatisfied or abusive individuals

Typical Working Conditions:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• Typical office conditions and noise level is usually quiet. Interaction with others is busy, constant, and occasionally interruptive. Work may be demanding at times. May require ability to work irregular hours
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Contact Relationships:

Broad range of clinic physicians, staff, and managers. Health plan, accreditation, and regulatory officials

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $35.00 to $63.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.