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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Nurse

Country:

United States

Postal Code:

76101

Approximate Salary:

Not Specified

Position Type:

Full Time

RN HEDIS Quality Manager for WellMed - Fort Worth, TX $5,000 Sign On Bonus for External Candidates!

UHG - Fort Worth, Texas

Posted: 09/4/2018

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

   The Quality Improvement Manager is responsible for coordinating and implementing the STAR’s data collection and works in collaboration with the Director of Quality to develop strategies for achieving a 5 STAR rating. This role assists with data analysis and report preparation for all required data submissions. The Quality Improvement Manager provides direction and support to the various WellMed markets in the implementation of strategies for closing care gaps. . This role works closely and collaboratively with various functional areas of the delivery system to achieve the goals and objectives of the Quality Improvement Program.   Primary Responsibilities:
  • Provides leadership and support in establishing the Quality Performance Initiatives at the market level
  • Collaborates with physicians to execute the implementation of the clinical quality initiatives as defined by enterprise
  • Provides expertise to the training department on STAR/HEDIS measures and on the tools that support the collection of STAR/HEDIS data
  • Work with IT on the interpretation of technical specifications and impact of HEDIS/STAR Measures to the data collection tools and reports utilized for the support of HEDIS/STAR measures 
  • Conduct training on HEDIS/STAR measures, HEDIS/STAR data collection software and data collection strategies
  • Participate in NCQA HEDIS or Health Plan audits
  • Work with external vendors on data transmission issues 
  • Analyze data for possible data integrity and data deficits
  • Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and creating interpretive exhibits
  • Update QI Project templates and Work plan with assigned responsibilities
  • Attend and participate in all QI meetings
  • Performs all other related duties as assigned

$5,000 SIGN ON BONUS FOR EXTERNAL CANDIDATES!

  This position is based out of the Fort Worth Office.
Required Qualifications:
  • Registered Nurse with Undergraduate degree or equivalent experience
  • 1+ year HEDIS/STAR experience or participation with regulatory reporting 
  • 5+ years of healthcare experience to include experience in a managed care setting
  • 3+ years of experience with data analysis
  • Basic understanding of quality improvement standards such as NCQA, HEDIS, CAHPS, HOS and CMS
  • Advanced Experience using Microsoft office applications, including but not limited to databases, word-processing, spreadsheets, and graphical displays
Preferred Qualifications:
  • BSN degree or related field
  • 3+ years of process management experience
  • Healthcare Quality Improvement experience
  • CPHQ Certification
  • CHCQM Certification
  • Proven capability to work with people at all levels in an organization
  • Excellent training and presentation skills with solid communication capabilities and practices, both oral and written
  • Demonstrated effective organizational skills
  • Excellent communication, writing, proofreading and grammar skills
  • Strong attention to detail and accuracy, excellent Evaluative and Analytical skills
  • Strong teamwork, interpersonal, verbal, written, and administrative and customer service skills

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

 

**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.


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.

 

 

Job Keywords: WellMed, Optum, Healthcare, Quality Improvement, HEDIS, Stars, RN, Registered Nurse, quality manager, manager, registered nurse manager, quality manager, Fort Worth, TX, Texas

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