Sr. Clinical Quality Analyst – Remote in Milwaukee, WI 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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

Major Responsibilities:

Focused work on individual population streams and/ or highly complex specific initiatives:

• Manage projects from inception to completion through QI science methodology documentation including: Project charters, PDSA cycles, Key Driver Diagrams, GEMBAs, Run Charts and Paretos 
• Complete data analysis for projects to determine progress and if SMART aims are achieved or root causes of performance 
• Lead multidisciplinary teams to complete project tasks 
• Recommend appropriate resolutions
• Define performance and results and assist management with vendors and service providers 
• Ability to lead and coordinate multidisciplinary teams

Primary Responsibilities:

• Able to define direction of complex work for self and others with minimal oversight and direction
• Self-directed, independent and track record of initiation and coordination for complex topics
• Apply and coach others to apply QI science methodology and tools (e.g., IHI model, PDSA) to drive quality across multiple populations
• Lead the process improvement projects according to the contract requirements and conduct project writing, analysis and develop strategies for improvement
• Recommend and evaluate project results and anticipate appropriate course of action
• Work with the health plan departments to coordinate appropriate process improvement initiatives
• Communicate Quality data and information in writing or verbally
• Participate in the implementation of any required newly developed health initiatives 
• Other projects and/or outreach as assigned
• Comfortable working through ambiguity toward clarity 
• Define performance, results and management of whole populations to include resources which are external to United (ie, providers, community based organizations, and third-party vendors)
• Provide direction and performance feedback to the teams engaged with population health work
• Open to innovation, creative ideas, will completely re-engineer work processes when needed.  
• Coaches, provides feedback, and guides others. Acts as a resource for others with less experience.
• Demonstrated ability to lead, influence change, initiate and shape work with colleagues inside and outside the organization to achieve goals
• Use data analytics, assist with the identification of opportunities for improvement at multiple levels

Accountabilities:

• Self-directed, independent and track record of initiation for moderate to complex topics
• Demonstrated ability to project manage including the ability to plan out an initiative from inception to completion
• Provides explanations and information to others on difficult issues.
• Analyze metrics, summarize key business learning, and translate into tactical plans 
• Able to synthesize information from multiple sources
• Demonstrated ability to make recommendations and implement quality improvement interventions based objective information
• Demonstrated understanding of quality theory, data collection, analysis, and study design; ability to track and display performance
• Translates concepts into practice.
• Ensure work is meeting regulatory requirements
• Demonstrated ability to communicate ideas clearly and concisely to multiple audiences 
• Lead and conduct business process analysis (using IHI frameworks) to diagnose process improvement opportunities and to develop and test re-usable and spreadable solutions 
• Identify root causes of substandard project outcomes and recommend appropriate actions

 

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:

• 4+ year’s healthcare experience or other relevant experience 
• 1+ years of relevant work experience in project management, consulting, health care, or QI
• Experience composing process improvement projects and skilled at writing, grammar and qualitative/quantitative analysis
• Project management and/or program oversight experience 

• Intermediate level of proficiency with MS Project, Excel, Visio, PowerPoint and SharePoint 

   

 

Preferred Qualifications:

• IHI certificate or Lean background 
• Project Management Professional (PMP) or similar Certification
• Health care experience
• Experience with HEDIS and NCQA

• Experience working with Medicare and Medicaid populations

   

• Bilingual (English and Spanish)
• Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities
• Intermediate problem solving and analytical and skills
• Ability to influence and work with a wide range of internal stakeholders/resources to move projects and programs forward and overcome any challenges
• Advanced communication skills both written and verbal

 

*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. 

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.