Manager Quality Operations - with 25% Travel

UnitedHealth Group

Full-Time
Closes on Friday, May 31, 2024

Job Description

Manages Quality Coordinators, Clinical Quality Consultants (CQC) I, II and Senior CQC and is responsible for the overall success of the market’s HEDIS/Star results for contracted physicians Responsible  for  all  aspects  of  staff  development  to  include  hiring,  training,  coaching  and development Maximizes staff performance and technical expertise through clearly defined objectives, training, skill development and leadership to ensure quality services to all customers Delegate, monitor and control work progress on key HEDIS/Star metrics, initiatives/action plans, staff productivity, and administrative expenses Participates in development and implementation of systems and processes that support quality operations Maintains effective cross functional services by working effectively with the Medical Director, Market Medical Director, Market Operations, Regional Team, Clinic Operations and other corporate departments Handles complex and/or difficult provider inquires and/or problems and facilitates resolution of provider issues. Continuously strive to ensure that favorable relationships are maintained while ensuring the interest of the organization Takes ownership of total work process and provides constructive information to ensure physician partners have support to meet initiatives Analyzes data while collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues Demonstrate understanding of providers' goals and strategies in order to facilitate the analysis and resolution of their issues Work with relevant internal stakeholders to identify obstacles and barriers identified by providers, and methods for removing them Communicate and advocate providers' needs to internal stakeholders in order to drive creation of solutions that meet our HEDIS/Star goals Communicate industry and company information to providers through various means (e.g., newsletters; emails; outreach calls; teleconference; conferences; on-site meetings) Develops and coaches staff to facilitate strategic business meetings with physician groups and their staff Guides, oversees and ensures competency of the Quality market staff Assist corporate and local education team and provides input on tools used to education quality staff and other local provider support staff Ensures all education objectives are being met, both on a formal and ad-hoc basis Responsible for ensuring the quality staff is responding to market operation and provider inquiries Facilitates provider discussions and assists in negotiating resolution to escalated provider issues with the capability to determine if/when issues require escalation Collectively works with cross functional leadership to eliminate duplication of efforts and member or provider abrasion Includes up to 50 - 75% local travel Performs all other related duties as assigned

Full-Time sympOne_fdd4335a054ed019e8abc555c9c9b975 UnitedHealth Group
Manager Quality Operations - with 25% Travel - 128090