Manager Clinical Quality - Remote in NE Market Only

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Quality Manager plays a pivotal role in advancing quality improvement and population health initiatives across the organization. Working closely with Health Plan Leadership, this role promotes an interdisciplinary approach to care, emphasizing health promotion, chronic disease management, and compliance with organizational, state, NCQA, CMS, and other applicable standards. The manager will lead the Clinical Practice Consultant team and collaborate with providers and community partners to drive performance and improve health outcomes. This includes coordination of outreach, data analysis and formal presentation to physicians, administrators, and community stakeholders. 

If you are located within commutable distance of Omaha, NE, 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 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

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, 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

Preferred Qualifications:

• Certified Professional in Healthcare Quality Certification (CPHQ) or Lean background
• Solid organizational, time management, and prioritization skills 
• Solid problem solving and analytical and 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

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 $91,700 to $163,700 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.