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UnitedHealth Group Scientific Studies Manager Telecommute in Eden Prairie, Minnesota

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 and help people live healthier lives while doing your life's best work.(sm)

This position works under the supervision of the Director of Clinical Quality Management and leads the CQM study team. The individual in this role is a subject matter expert in conducting clinical quality audits, clinical quality studies (CQS), clinical quality improvement initiatives (QIIs), and clinical quality improvement projects (QIPs) using scientific methodology. Responsible for the reporting and analysis of provider / institution care performance and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools.

You'll enjoy the flexibility to telecommute* from within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Leads CQM study team, sets team direction, resolves problems and provides team guidance and oversight for all studies and quality improvement activities

  • Conducts CQS, QIIs, and QIPs

  • Identify appropriate sources for data or information either internally or externally and collect data / information

  • Analyze and interpret data or information

  • Identify and drive quality improvement or intervention opportunities through completion and work cross-functionally with other departments / stakeholders as appropriate

  • Develop or update work plans, policies and procedures

  • Prepare reports, presentations, and communicates quality data or information in writing or verbally

  • Prepares team development plans and performance evaluations in alignment with departmental and organizational goals

  • Ensures work products adhere to scientific methodology and integrates URAC and NCQA standards

  • Creates, reviews, and revises CQM study plans and reports

  • Manage or actively participate in meetings (e.g., schedule, present, document meeting results, facilitate)

  • Review results, conduct analyses (e.g., evaluate against goals / effectiveness of interventions over time), and prepare reports on findings

  • Responsible for the VA CCN provider performance monitoring process

  • Oversees the data analysis, timely completion of projects, deliverables and performance improvement process

  • Evaluate current processes, compare to relevant standards or specifications and identify gaps in compliance or performance

  • Develop and / or assist with corrective action plans based on audit findings or customer feedback

  • Assists with accreditation activities, as needed

  • Assists in the development of Patient Safety Initiatives

  • Maintains compliance with the VA CCN contractual requirements

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:

  • RN with current, active license without restriction in state in which you are practicing

  • Bachelor's degree or equivalent experience

  • 5+ years of clinical experience

  • 2+ years of experience conducting research and studies

  • 2+ years of supervisory / management experience

  • Professional writing research / study reports experience

  • Comprehensive knowledge of research methodology, HEDIS measures, and benchmarking

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Excellent interpersonal, communication, and writing skills

  • Master's degree in Nursing, Administration or Business

  • 2+ years of experience in clinical quality management

  • Certified Professional in Healthcare Quality® (CPHQ)

  • Government program (TRICARE, VA) experience

  • Detail oriented with strong organization, multitasking and time management abilities

  • Strong analytical skills and knowledge /experience with statistical tools

  • Moderate to Advanced computer skills with emphasis on Microsoft Office software (Word, Excel, Access, PowerPoint), Databases, and Tableau

  • Demonstrated ability to analyze quality data to formulate conclusions from multiple sources of complex data and communicate complex ideas clearly and concisely

Optum , a part of the UnitedHealth Group family of businesses, continues to evolve and make a bigger impact through its extensive expertise in combining technology, data and people to create novel health care solutions and services across the globe. OptumServe is following suit by creating and delivering care that meets the health needs of active duty service members, veterans and their families. We're partnering with federal and state government agencies to meet the readiness and health needs of active duty military members and veterans by providing preventive health screenings and assessments to ensure that troops are ready to answer the call of duty. For those who want to intensify their impact in a career that brings together challenge, learning and growth, OptumServe is the right place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

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