Talent.com
Quality Improvement Program Manager - Remote on Oahu, HI

Quality Improvement Program Manager - Remote on Oahu, HI

UnitedHealthcareLaie, HI, US
7 hours 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 Program Manager will work closely with the Health Plan Quality Leadership to coordinate quality improvement and compliance activities and ensure that we are meeting the organizational, state, NCQA, CMS and other requirements as applicable. This position will serve as a liaison between departments within the health plan and remainder of the organization to coordinate an interdisciplinary approach to improve member outcomes and provider performance. Primarily responsible for the development and / or on-going management and administration of clinical quality programs, development / management of performance improvement projects by leveraging data, lead analytical efforts to monitor performance on key quality metrics (e.g., HEDIS, CAHPS, Stars), proactively identify opportunities for improvement, and support cross-functional teams with actionable insights.

This role may require travel to support community events, possibly on the weekends. The individual must be comfortable with creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners.

This is a work from home / telecommute position within Oahu. Travel will be required to the Honolulu office for meetings, offsite Quality Committee meetings, and State sponsored meetings up to 10 percent of the time.

If you reside on Oahu, HI and are able to travel about 10% of the time, you will have the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities :

  • Develop and implement data-driven strategies to support quality improvement initiatives
  • Maintain and enhance reporting systems for HEDIS, Stars, CAHPS, and other regulatory and internal quality metrics
  • Conduct data analysis to identify trends, gaps, and opportunities for improvement
  • Support quality improvement projects with data analysis, performance tracking, and outcome measurement
  • Manages all Quality Committees under the UnitedHealthcare Community Plan Hawaii umbrella to assure that QM Committee activities are fulfilled, on track and recorded
  • Serves as a liaison with national Quality Committees to communicate back information to the local plan as needed
  • Support with quality management documents such as the Quality Improvement Program Description, Quality
  • Improvement Work Plan and the Quality Improvement Program Evaluation are completed, presented for approval and submitted timely
  • Evaluations are written and updated as required to fulfill requirements of UHC national QMP, NCQA and State regulations
  • Manages existing QMP policy & procedures, writes new QMP policy & procedures and matches policy and procedure to regulatory requirement and accreditation crosswalk, and ongoing regulatory and accreditation readiness
  • Provide project management oversight for all activities associated with HEDIS, CAHPS, PIPs, and other projects as assigned
  • Conducts performance improvement projects and complete submission of necessary reports.
  • Participate in quality related audits (i.e. EQRO, HEDIS, etc.) and assures that all QMP requirements under the audit are met
  • Manages quality related reports as required by State, NCQA, etc.
  • Prepare effectiveness studies on program activities to identify improved outcomes and status of meeting set objectives
  • 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 :

  • 3+ years of experience in the health care field with a focus on healthcare data analysis and quality improvement
  • Experience with data visualization platforms (e.g., Tableau, Power BI)
  • Experience with MS Word, Excel, PowerPoint, Outlook
  • Solid understanding of HEDIS, Stars, CAHPS and other healthcare quality metrics
  • Demonstrated excellent communication and project management skills
  • Ability to travel about 10% of the time on Oahu, HI
  • Preferred Qualifications :

  • 1+ years of experience with HEDIS, Stars, CAHPS and other healthcare quality metrics
  • 1+ years of experience working in health plan or other setting in quality management
  • Knowledge of regulatory agencies including NCQA
  • 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. #UHCPJ

    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 Program Manager • Laie, HI, US

    Related jobs
    Data Scientist 2

    Data Scientist 2

    GormatWahiawa, HI, USA
    Full-time
    Quick Apply
    Seeking Data Scientist that performs tasks associated with Big Data Platform management, utilizes skills in programming languages, develops prototype algorithms, as well as algorithm refinements, a...Show moreLast updated: 30+ days ago
    • Promoted
    Supply Management Analysis III

    Supply Management Analysis III

    PrimeTech International, Inc.96863, HI, US
    Full-time
    Supports daily operations and planning to optimize the flow of supplies from initial procurement to the final disposition. Fulfill material requirements for volume, cost, and scheduling business ope...Show moreLast updated: 25 days ago
    • Promoted
    Supply Management Analysis IV

    Supply Management Analysis IV

    PrimeTech International, Inc.96863, HI, US
    Full-time
    Supports daily operations and planning to optimize the flow of supplies from initial procurement to the final disposition. Fulfill material requirements for volume, cost, and scheduling business ope...Show moreLast updated: 6 days ago
    • Promoted
    Treatment Plant Supervisor

    Treatment Plant Supervisor

    Aqua Engineers Inc.Kahuku, HI, US
    Full-time
    Responsible for providing overall support to the operations teams well as serving as the direct responsible charge (DRC) for wastewater collection, treatment and disposal systems and / or water treat...Show moreLast updated: 30+ days ago
    • Promoted
    Quality Review Analyst NF-04

    Quality Review Analyst NF-04

    US Government JobsSchofield Barracks, HI, US
    Full-time
    NAF Support Management, Wheeler Army Airfield, Hawaii.This position is located at NAF Support Management, Wheeler Army Airfield, Hawaii (Island of Oahu).Show moreLast updated: 7 days ago
    • Promoted
    Entry Level Engineer - Designer I

    Entry Level Engineer - Designer I

    Phillips Tank and Structure - Steel Valley FabricatorsKailua, HI, US
    Full-time
    Phillips Tank & Structure (PTS) is a growing, team-oriented company led by individuals with decades of experience in the field of construction, repair, and maintenance of field-welded, above-gr...Show moreLast updated: 4 days ago
    • Promoted
    • New!
    Quality Improvement Program Manager - Remote on Oahu, HI

    Quality Improvement Program Manager - Remote on Oahu, HI

    UnitedHealthcarePearl City, HI, US
    Remote
    Full-time
    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 ...Show moreLast updated: 7 hours ago
    • Promoted
    Regulatory Analyst II or Senior Regulatory Analyst

    Regulatory Analyst II or Senior Regulatory Analyst

    Hawaiian ElectricHonolulu, HI, US
    Full-time
    Regulatory Analyst II Or Senior Regulatory Analyst.We recognize our competitive advantage our people.We believe in our people, who share our vision of meeting the needs of our employees, custome...Show moreLast updated: 24 days ago
    • Promoted
    Bridge Inspection Team Leader (Honolulu)

    Bridge Inspection Team Leader (Honolulu)

    CONSOR EngineersHonolulu, HI, US
    Full-time +1
    As a Team Leader for the Structural Assessment practice at Consor, you will be responsible for leading inspections in the field to protect the traveling public. You will use various access methods f...Show moreLast updated: 8 days ago
    • Promoted
    Quality Improvement Program Manager - Remote on Oahu, HI

    Quality Improvement Program Manager - Remote on Oahu, HI

    UnitedHealth GroupHonolulu, HI, US
    Remote
    Full-time
    Quality Improvement Program Manager.At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impa...Show moreLast updated: 30+ days ago
    • Promoted
    Quality Control Specialist | Req#3301

    Quality Control Specialist | Req#3301

    ActioNetHonolulu, HI, US
    Full-time
    ActioNet has an immediate opportunity for a Quality Control Specialist.ActioNet is an IT service provider and solutions integrator headquartered in Vienna, VA that works with the Federal Government...Show moreLast updated: 30+ days ago
    • Promoted
    Quality and Safety Oversight Specialist IV (KFH / HP)

    Quality and Safety Oversight Specialist IV (KFH / HP)

    Kaiser PermanenteHonolulu, HI, US
    Full-time
    Quality And Safety Oversight Specialist Iv (Kfh / Hp).Contributes to developing quality strategies in alignment with KFHP strategic priorities, mission, and vision. Coordinates and collaborates across...Show moreLast updated: 30+ days ago