Quality controller Jobs in Rio Rancho, NM

Optum NM is seeking a Clinician Team Lead - Clinical Informatics to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Clinician Team Lead, Clinical Informatics is a member of the clinic leadership team who provides leadership and direction to clinic providers in collaboration with their Associate Medical Director and dyad operations partners. The Team Lead is responsible for driving MA growth, improving quality metrics, driving patient safety, and supporting lean process improvements and standard work. The Team Lead continues to have clinical responsibilities in addition to their administrative role. This position is allotted 4 hours Team Lead administrative time weekly.

Primary Responsibilities:

• Provides diagnosis, treatment, therapy, and management of patients according to current standards of care utilizing best evidence-based practice recommendations

• Works collaboratively with the patient to provide a Patient-Centered approach to care, adhering to the organization's Patient-Centered mission

• Drives organization-specific initiatives including Quality (STAR, HEDIS, CAPHS/HOS) and Affordability, and ensures that the processes and procedures are in line with the approved business model

• Ensures quality indicators are being met and continuously improved by participating in Quality Meetings. Outlines objectives for clinic team members to ensure quality indicators are defined and understood in order to be achieved

• Supervises clinician team members, including coordination of paid time off, CME time and expense approvals, OLCM license review, and clinician/patient complaint management. Team Leads will meet with direct reports monthly. They will provide performance reviews quarterly with monthly touchpoints.

• Partners with Operations leadership to ensure the success of the clinic team within the clinics

• Ensures clinician team members are in compliance with Optum policies and procedures and serves as the liaison between clinicians and the People Team for policy interpretation

• Performs annual evaluations and participates in creating MAP and developmental goals for the clinician team members as well as participates in company-led initiatives, leadership readiness, and job expansion activities of assigned clinician team members

• Participates in various committees as assigned and disseminates information timely to all team members

• Assists in team member recruiting and retention efforts by identifying clinic needs and developing a succession plan for primary care

• Promotes patient safety and partners with operational leadership to ensure clinic compliance

• Utilizes evidence-based care processes to meet affordability goals

• Is accountable for clinic customer satisfaction scores, reviews, and action plans

• Develops and promotes organization's culture in clinic team members

• Optimizes clinician productivity and performance

• Serves as a clinical subject matter expert bridging frontline care delivery and health IT systems

• Partners with providers, operations, and IT to optimize EHR workflows, templates, order sets, and clinical decision support

• Leads analysis, design, testing, and implementation of clinical informatics initiatives and system enhancements

• Identifies workflow inefficiencies and translate clinical requirements into actionable technical solutions

• Supports quality, safety, population health, and value based care initiatives

• Provides clinician education, through 1:1 new provider onboarding and ongoing provider support

• Go live support and workflow enhancement for EHR optimizations and digital tools (DAX, AI, etc.

• Participates in National governance, local and regional change management, and tech prioritization meetings

• Monitors outcomes and adoption metrics through Signal and Nuance data to ensure clinical solutions meet operational and patient care goals

• Performs all 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:

• Board Certified/Eligible Advanced Practice Clinician

• Minimum 2 years of experience in outpatient primary care medicine

• 1-2 years of management experience or have exhibited appropriate leadership potential.

• Experience in medical utilization management, medical quality assurance, quality improvement techniques, risk management, and compliance

• Nurse Practitioner: Current NBR Certification; Licensed RN by the State of NM; Current Nurse Practitioner in the state of NM

• Current and unrestricted DEA certificate

• BLS certification required within 30 days of hire.

• Must be able to meet all pre-employment requirements.

• Must be able to meet all health requirements at hire and periodically thereafter, as required by company policy/state regulations to verify that they/he/she is free from communicable disease and physically able to perform assigned duties

• Knowledge of primary care operations

• Must have strong oral and written communication techniques and be professionally respected by peers; leadership ability and demonstrated competence in the primary care setting

Preferred Qualifications:

• Master's Degree in Nursing

The salary range for this role is $226,000 to $366,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.