Manager Clinical Quality - Remote in NE Market Only

UnitedHealthcare is simplifying the health care experience and creating healthier communities. The Clinical Quality Manager plays a pivotal role in advancing quality improvement and population health initiatives across the organization, collaborating with Health Plan Leadership and various stakeholders to drive performance and improve health outcomes.

Responsibilities:

• Develop and implement data-driven strategies to support quality and population health initiatives
• Conduct data analysis to identify trends, gaps, and opportunities for improvement
• Monitor and support quality improvement projects and incentive programs through performance tracking and outcome measurement
• Ensure compliance with regulatory and state reporting requirements related to quality and population health
• Prepare and deliver written and verbal reports and presentations to Health Plan Leadership and external stakeholders
• Lead and delegate project tasks based on team members' strengths, skill sets and experience levels
• Engage directly with providers and other key stakeholders to support quality initiatives and foster collaboration
• Influence and guide multidisciplinary teams, including external partners, on complex quality-related topics
• Coordinate the development of presentations and data analysis for physicians, administrators, and community partners
• Engage with ACO partners to develop expertise in value-based contracting and inform quality performance and potential for improvement
• Support integration of internal processes and partners to support provider education in Quality Improvement
• Support connection to community-based partners to support Medicaid priorities
• Travel may be required to support community events and provider engagement

Requirements:

• Active, unrestricted RN license in the state of residence
• 4+ years of healthcare experience, including managed care
• Experience in HEDIS/Star programs and NCQA standards
• Proficiency with MS Word, Excel, Visio, PowerPoint, and SharePoint
• Proven ability to lead cross-functional teams and manage complex projects
• Certified Professional in Healthcare Quality Certification (CPHQ) or Lean background
• Solid organizational, time management, and prioritization skills
• Solid problem solving and analytical skills
• Excellent analytical, problem-solving, and communication skills
• Ability to influence stakeholders at all levels and drive initiatives forward
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy