FortWorthRecruiter Since 2001
the smart solution for Fort Worth jobs

Director of Quality HEDIS

Company: UnitedHealth Group
Location: Fort Worth
Posted on: April 8, 2021

Job Description:

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) The Director of Quality/HEDIS is responsible for coordinating and implementing quality initiatives designed by enterprise/OHCC to continuously improve all aspects of health care delivery. This includes communication and monitoring of initiatives as well as promoting culture changes that support an environment of quality. This position is also responsible for coordinating and implementing HEDIS, CAHPS and HOS projects and assisting with data analysis and report preparation for Regional Success Collaborative as well as OHCC. The Director works closely and collaboratively with various functional areas of the delivery system and OHCC to achieve the goals and objectives of the QI/HEDIS program.Primary Responsibilities:

  • Provides leadership and support in establishing and directing the Quality Program consistent with the delivery system/OHCC directives
  • Develops and/or maintains policies and procedures that support the corporate initiatives that meet State, Federal legal requirements and standards
  • Collaborates with physicians to execute the implementation of the clinical quality data initiatives as defined by enterprise and/or OHCC
  • Provides expertise to the training department on HEDIS measures and tools that support collection of and communication about HEDIS to the enterprise
  • Works with Enterprise on developing and implementing HEDIS member engagement strategies
  • Works with OHCC leadership to provide information or data as requested
  • Facilitates, integrates, and/or coordinates the implementation and evaluation of identified quality improvement/HEDIS activities as requested by UHG or related companies
  • Promotes understanding, communication and coordination of all quality improvement program components
  • Participates in requested evaluations and audits
  • Coordinates reporting on quality initiatives to all appropriate committees
  • Assists with the development of the QM and UM Work Plan, Evaluation and the monitoring of Work Plan activities as they relate to PI
  • Develops operating budget as necessary
  • Participates in various teams, committees and meetings at any level required to maintain business necessity
  • Maintains QI program documents, reports, and committee minutes and follows all internal privacy and confidentiality policies and procedures
  • Maintains current knowledge of regulatory requirements associated with the QI program
  • Oversees HEDIS data submission process
  • Leads accreditation efforts as defined by enterprise
  • Performs all other related duties as assignedThis is an office based position in Fort Worth TXYou'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:
    • Bachelor's degree in Registered Nursing or related field
    • 8+ years of experience in quality improvement in a managed care environment and/or large physician practice setting, including three or more years of management experience
    • Basic understanding of quality improvement standards such as NCQA, HEDIS, CAHPS, HOS and CMS
    • Established and managed an annual budget
    • Proficient knowledge of Microsoft Office applications required, including, but not limited to, Word, Excel, Access, and PowerPoint
    • You will be asked to perform this role in an office setting or other company location
    • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attainedPreferred Qualification:
      • Master's Degree (MBA, MHA, MPH, MN or related field)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 550,000+ 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: Director, Quality Improvement, Fort Worth, TX, Texas, HEDIS,NCQA, Managed Care, CMS, Process Improvemet, STARS, QI, healthcare, Medicare Advantage, healthplan, fort worth

Keywords: UnitedHealth Group, Fort Worth , Director of Quality HEDIS, Executive , Fort Worth, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Shift Manager
Description: At Taco Bell we---re looking for an experienced
Company: Taco Bell Aledo
Location: Aledo
Posted on: 04/19/2021

Identity and Access Management Azure/Cloud Engineer
Description: We are actively hiring for an Identity and Access Management IAM Azure/Cloud Engineer Join us and support CSAA Insurance Group, a AAA Insurer, in achieving our goals.We are looking for motivated, innovative (more...)
Company: CSAA Insurance Group, a AAA Insurer
Location: Dallas
Posted on: 04/19/2021

Assistant Salon Manager - Cedar Hill
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let's talk Maybe you're a stylist who wants more
Company: Great Clips
Location: Midlothian
Posted on: 04/19/2021


Telecommute Network Development Director
Description: A healthcare company has an open position for a Telecommute Network Development Director. Core Responsibilities of this position
Company: VirtualVocations
Location: Dallas
Posted on: 04/19/2021

Manager SW Engineering - Full Stack
Description: Plano 5 31065 , United States of America, Plano, TexasManager SW Engineering - Full StackDo you love building and pioneering in the technology space Do you enjoy solving complex business problems in (more...)
Company: Capital One
Location: Prosper
Posted on: 04/19/2021

Assistant Manager
Description: Start Your New Career Today enjoy job stability with Jiffy Lube as an Essential Business IMMEDIATELY HIRING --Safety is our priority COVID-19 protocols are in place --Team Car Care owns and operates (more...)
Company: Jiffy Lube
Location: Azle
Posted on: 04/19/2021

Customer Relationship Manager
Description: Company Overview: At ADT, we---ve been in the business of helping save lives for more than 145 years. As the number one smart home security provider serving residential and business customers, our people (more...)
Company: ADT Security Services
Location: Lake Dallas
Posted on: 04/19/2021

Trauma Program Manager
Description: JOB SUMMARY br br The Manager Trauma Programs 1, in collaboration with the Trauma Medical Director, is responsible for the development, implementation, and evaluation of the trauma program coordinating (more...)
Company: Baylor Scott & White Health
Location: Frisco
Posted on: 04/19/2021

Project Manager - Manufacturing Vertical - NetSuite Services (SuiteJobs-PSNA)
Description: A fully competent project management professional who has a broad understanding of solutions and industry best practices. This first-level project management position provides consistent creative and (more...)
Company: Oracle
Location: Frisco
Posted on: 04/19/2021

Assistant Store Manager
Description: JOB SUMMARYThe Spectrum Assistant Store Manager is responsible for assisting the Store Manager in building a highly successful sales, retention and customer care culture inside their store. Actively and (more...)
Company: SPECTRUM
Location: Frisco
Posted on: 04/19/2021

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Fort Worth RSS job feeds