Talent.com
Quality Improvement Lead - Remote in Northern Lower and Thumb Area, Michigan
Quality Improvement Lead - Remote in Northern Lower and Thumb Area, MichiganUnitedHealth Group • Midland, MI, United States
Quality Improvement Lead - Remote in Northern Lower and Thumb Area, Michigan

Quality Improvement Lead - Remote in Northern Lower and Thumb Area, Michigan

UnitedHealth Group • Midland, MI, United States
30+ days ago
Job type
  • Full-time
  • Remote
Job description

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.

The Quality Improvement (QI) Lead supports our mission to help people live healthier lives by leading population-focused initiatives aimed at improving health outcomes, as measured by HEDIS and other key quality metrics. This role manages new and ongoing projects, implementing members, providers, and system-level interventions to close care gaps.

Working in a highly collaborative environment, the QI Lead partners across functions such as Clinical, Provider Engagement, Member Experience, Compliance, and Pharmacy to drive continuous quality improvement aligned with organizational goals.

If you are located in Michigan, you will have the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities :

  • Lead and coordinate quality improvement initiatives to enhance health outcomes and meet HEDIS, STARS, and other key performance metrics
  • Manage projects aligned with regulatory, accreditation, and business requirements, ensuring compliance and continuous performance improvement
  • Develop and implement health education and promotion programs to support member engagement and access to care
  • Identify and address barriers to care through data analysis, literature review, stakeholder feedback, and community engagement
  • Collaborate across departments (e.g., Clinical, Provider Engagement, Pharmacy) to align interventions with population health goals
  • Monitor and report on performance trends; support audits, contractual reporting, and quality-related committees
  • Facilitate Performance Improvement Projects (PIPs) and contribute to documentation such as Trilogy Documents, Population Health Plans, and Committee presentations
  • Engage with community partners and providers to support care coordination, offer training, and drive provider-level quality improvement
  • Serve as a clinical subject matter expert to internal teams, leadership, and external stakeholders
  • Support special projects and manage program implementations 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 :

  • Active and unrestricted RN license in the state of Michigan
  • 3+ years of experience working on programs for patients / members with complex care needs, including chronic conditions and / or behavioral health conditions
  • 3+ years of experience in quality improvement, managed care, or healthcare administration, including work with complex care populations (e.g., chronic or behavioral health conditions)
  • Experience with Medicaid, LTSS and / or D-SNP programs
  • Proven solid project and data management skills, including experience working with multiple databases and analyzing healthcare data
  • Proven ability to develop and deliver presentations to internal and external stakeholders using virtual platforms (e.g., Microsoft Teams, WebEx / Zoom)
  • Experience engaging with providers and community partners across specialties to support quality initiatives
  • Experience in reviewing literature and stakeholder feedback to inform program development and improvement
  • Intermediate proficiency in Microsoft Office Suite, like Excel, PowerPoint, Word, and Outlook
  • Driver's License and access to reliable transportation
  • Resident of Michigan
  • Preferred Qualifications :

  • Certified Professional in Healthcare Quality (CPHQ)
  • Experience in managed care organizations, including oversight of NCQA, HEDIS, and / or STARS measures
  • Solid knowledge of HEDIS, NCQA standards, regulatory requirements, and the managed care industry
  • Familiarity with Health Information Exchanges (HIEs), Electronic Medical Records (EMRs), and practice management systems
  • Experience leading cross-functional teams and implementing health education or quality improvement programs
  • Proven ability to analyze managed care contracts and apply insights to program development
  • Solid communication skills with the ability to engage stakeholders at all levels
  • Demonstrated adaptability and problem solving skills in fast-paced, matrixed environments
  • 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 salary for this role will range from $71,200 to $127,200 annually 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 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.

    Create a job alert for this search

    Quality Improvement • Midland, MI, United States

    Related jobs
    Project Manager

    Project Manager

    Moltus Building Group • Hemlock, MI, US
    Full-time
    Lead Projects, Build Your Career.PM looking to take the next step.If you have hands-on experience with.Join a collaborative team where your experience matters, your leadership is valued, and your g...Show more
    Last updated: 30+ days ago • Promoted
    Travel Cath Lab Tech - Midland, Michigan - $2615 / week

    Travel Cath Lab Tech - Midland, Michigan - $2615 / week

    Vetted Health • Midland, MI, United States
    Temporary
    Job Opportunity : Cath Lab Tech.Provides specialized healthcare services in a clinical setting.Works collaboratively with healthcare team members. Maintains professional standards and patient care qu...Show more
    Last updated: 3 days ago • Promoted
    Home Health RN $10,000 Bonus

    Home Health RN $10,000 Bonus

    Residential Home Health and Hospice • Beaverton, MI, US
    Full-time
    At Residential Home Health and Hospice ('Residential'), we're looking to add to our extraordinary care team.Grounded by our belief that outstanding care is best delivered in a team-based environmen...Show more
    Last updated: 29 days ago • Promoted
    Cath Lab Tech in Midland, Michigan - $2,928 / week

    Cath Lab Tech in Midland, Michigan - $2,928 / week

    VETTED • Midland, MI, United States
    Full-time
    Vetted is seeking a Cath Lab Tech for a travel job in Midland, Michigan.The assignment starts on Dec 8 and is 13 weeks long with 8 hour shifts 5 days a week. You must live 60 miles away from the fac...Show more
    Last updated: 5 days ago • Promoted
    Work from Home / Online Opportunity - Part-time with Flexible Scheduling & No Experience Necessary!

    Work from Home / Online Opportunity - Part-time with Flexible Scheduling & No Experience Necessary!

    HomeJobFinder • Gladwin, MI
    Remote
    Part-time
    Remote Opportunity : Link Posting Marketing Rep (No Experience Needed!) Are you self-driven, reliable, and ready to earn from anywhere? We’re looking for motivated individuals to jo...Show more
    Last updated: 2 days ago • Promoted
    Process Engineer

    Process Engineer

    US Tech Solutions • Hemlock, MI, United States
    Temporary
    Duration : 3 months contract with possible extension.A shift : 8 am - 4 pm, M-F OR B shift : 4 pm - 12 am, M-F.A mechanical, electrical, chemical, industrial engineer responsible for providing hands-o...Show more
    Last updated: 18 days ago • Promoted
    Retail Associate

    Retail Associate

    Spartan Nash • Gladwin, MI, US
    Full-time
    At SpartanNash, we deliver the ingredients for a better life through customer-focused innovation.We do this for our supply chain customers and U. In fact, we see a day when each will say,.Operationa...Show more
    Last updated: 28 days ago • Promoted
    Online Survey Taker. Earn up to $25 per survey. - Remote

    Online Survey Taker. Earn up to $25 per survey. - Remote

    Earn Haus • Beaverton, MI, United States
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 21 days ago • Promoted
    Remote Product Tester – $45 / hr + Free Products – Start Now!

    Remote Product Tester – $45 / hr + Free Products – Start Now!

    OCPA • Richland township, Michigan, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Tech - Cath Lab Tech

    Tech - Cath Lab Tech

    MidMichigan Health • Midland, MI, United States
    Full-time
    MidMichigan Medical Center - Midland.Cardiac Catheterization Lab Technician.These procedures are primarily focused on diagnosing and treating heart conditions, including coronary artery disease, ar...Show more
    Last updated: 10 days ago • Promoted
    Testing Technician

    Testing Technician

    Hemlock Semiconductor • Hemlock, MI, United States
    Full-time
    At Hemlock Semiconductor (HSC), we transform people's lives by energizing and connecting our world through silicon technology. Since 1961, HSC has been a leading global provider of hyper-pure polysi...Show more
    Last updated: 24 days ago • Promoted
    County Meter Reader

    County Meter Reader

    Meter Reader • Gladwin, MI
    Full-time
    Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used, cleaning of meter boxes, and removal of vegetation impeding access to meters...Show more
    Last updated: 23 days ago • Promoted
    Associate Team Leader

    Associate Team Leader

    H&R Block • Gladwin, MI, US
    Full-time +1
    At H&R Block, we believe in the power of people helping people.Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere.We also believe ...Show more
    Last updated: 24 days ago • Promoted
    Cath Lab Tech - Acute

    Cath Lab Tech - Acute

    MyMichigan Medical Center - Midland • Midland, MI, United States
    Full-time
    MyMichigan Medical Center - Midland.The Cardiac Cath Lab Tech performs advanced diagnostic and interventional cardiac procedures, peripheral vascular procedures, and structural heart procedures in ...Show more
    Last updated: 10 days ago • Promoted
    Remote Text Quality Evaluator

    Remote Text Quality Evaluator

    Outlier • Midland, MI, United States
    Remote
    Full-time
    Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...Show more
    Last updated: 9 days ago • Promoted
    Remote Side Hustle Evaluator - Flexible Online Gig Work

    Remote Side Hustle Evaluator - Flexible Online Gig Work

    Finance Buzz • Beaverton, Michigan, US
    Remote
    Temporary
    Are you looking to earn extra income from the comfort of your home? We're seeking motivated individuals to explore and test a variety of remote side hustle opportunities featured on FinanceBuzz.Thi...Show more
    Last updated: 30+ days ago • Promoted
    Work From Home

    Work From Home

    Remote Jobs • Beaverton, MI, United States
    Remote
    Full-time
    Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office. Benefits : Health Insurance, 401K, Vacation& PTO.Apply now! Work from ...Show more
    Last updated: 22 days ago • Promoted
    Quality Control Manager

    Quality Control Manager

    Roquette • Midland, MI, United States
    Full-time
    Want to help us make a difference?.Using plant-based resources, we collaborate with our customers and partners to imagine and offer ingredients to better feed people and treat patients.Each of our ...Show more
    Last updated: 13 hours ago • Promoted • New!