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 to start Caring. Connecting. Growing together.

If you are located within a commutable distance to Denver, Colorado Springs and Pueblo CO, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher
• Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups
• Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations
• Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider group performance and market performance as requested by or required by Quality or Regional leadership
• Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies
• Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes
• Focus communications and efforts accordingly
• Develop solution-based, user-friendly initiatives to support practice success
• Performs all other related duties as assigned
• Required to travel to assigned clinics for monthly presentation to practice team
• Data abstraction and gap closure through EMR and various portals

Weekly travel is required for this position to various Optum locations within Colorado.

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:

• High school education or equivalent experience
• 2+ years Healthcare/Health Plan experience
• 2+ years HEDIS experience and/or knowledge
• Solid knowledge of managed care requirements related to clinical quality
• Solid proficiency with Microsoft Office applications, including: Word, Excel and PowerPoint
• Demonstrated solid data management and/or project management skills
• Demonstrated ability to assist with focusing activities toward a strategic direction and achieve targets
• Demonstrated excellent team development skills
• Demonstrated solid interpersonal skills
• Demonstrated excellent time management and prioritization skills
• Demonstrated excellent written and verbal communications skills
• Valid driver license and reliable transportation

Preferred Qualifications:

• Significant Clinical and/or Health Education experience
• Experience working with HEDIS software vendors (management, building relationships, issue resolution etc.)
• Experienced in medical record review
• Basic statistical knowledge and application of continuous quality improvement concepts, such as Six Sigma, Lean, and/or PDSA
• Proficiency with Microsoft Windows Suite (PPT, Excel, Word, Visio)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Requisition #: 2373688

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Requirements