Friday , February 3 2023

Uhc Jobs – Quality Coordinator

Website United HealthCare

Job Description:

  • The Quality Coordinator is responsible for the facilitation, implementation and coordination of the quality improvement and management program, including NCQA accreditation and HEDIS improvements.
  • This position must reside within a commutable distance of the Louisville, KY office. You will work in the office as needed and have the flexibility to telecommute* the rest of the time.

Job Responsibilities:

  • Provide annual evaluation of program design and efficacy as well as development of work plans to address performance improvement
  • Participate in or coordinate with other department projects as needed
  • Develop and prepare documentation for NCQA and other accreditation surveys submissions
  • Implement policies and procedures to align with program goals and compliance requirements
  • Represent the health plan and provide subject matter expertise at internal clinical and quality meetings, regulatory meetings, and any relevant community partner meetings, workgroups, etc.
  • May do additional duties as assigned
  • Monitor and oversee execution of performance and activities to improve health and quality outcomes and effective medical management (e.g., HEDIS, CAHPS)
  • Collaborate with multiple functions that may include Clinical, Physician Engagement, Member Experience, Benefit Design / Product,
  • Compliance, Network, Behavioral Services, and Pharmacy as needed to drive the quality improvement program
  • Initiate program improvement projects and activities to drive outcomes

Job Requirements:

  • Quality knowledge of HEDIS, CAHPS
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice
  • Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a
  • UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and
  • local masking orders
  • Excellent verbal communication
  • Excellent writing skills
  • Knowledgeable of the managed care / health insurance industry, products and services
  • Proficiency with Microsoft Office Suite to include Word, Outlook and Excel

Qualification & Experience:

  • Bachelor’s degree
  • 1+ years of experience with demonstrated functional knowledge of process improvement, quality improvement, and change management
  • Research experience
  • 3+ years of experience in the healthcare industry

Job Details:

Company: United HealthCare

Vacancy Type:  Full Time

Job Functions: Quality Assurance

Job Location: Louisville, KY, US

Application Deadline: N/A

Apply Here