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Associate Vice President HEDIS Quality Dallas TX

Company: UnitedHealth Group
Location: Fort Worth
Posted on: September 24, 2022

Job Description:

$10,000 Sign on Bonus for External Candidates 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 lifes best work.(sm) The Associate Vice President of Quality 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 AVP 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 strategic direction, leadership, and oversight for Quality performance and plans, organizes, and directs the administration of all Quality Programs
  • Provides leadership to, and is accountable for, the performance and direction through multiple layers of management and senior level professional staff
  • 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
  • Coordinates with appropriate personnel to meet operational program needs and ensures compliance with state / federal health plan requirements, Medicare guidelines, HEDIS / STARS, CMS, and health plan requirements
  • Participates in requested evaluations and audits
  • Develops operating budget as necessary
  • Performs all other related duties as assigned
    Youll 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. This positon is an office based position located in Dallas or Fort Worth. Required Qualifications:
    • Bachelors Degree in Nursing, Healthcare or Business Administration or related field
    • 10+ years of experience in quality improvement in managed care environment and/or large physician practice setting
    • 6 years of management-level experience
    • Demonstrated knowledge of the business environment and business requirements (e.g., strategy changes, emerging business needs)
    • Basic understanding of quality improvement standards such as NCQA, HEDIS, CAHPS, HOS and CMS
    • Proficient knowledge of Microsoft Office applications required, including, but not limited to, Word, Excel, Access, and PowerPoint
    • Ability to establish and maintain effective working relationships with employees, managers, healthcare professionals, physicians and other members of senior administration, and the public
    • Excellent verbal and written communication, presentation, and facilitation skills
    • Knowledge of fiscal management and human resource management techniques
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodatio
      Preferred Qualification:
      • Master's Degree (MSN, MBA, MHA, MPH, MN, or related field)
      • Current unrestricted Texas RN license or Compact State License
      • Director level experience
        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 doyour life's best work.(sm) WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. **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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Keywords: UnitedHealth Group, Fort Worth , Associate Vice President HEDIS Quality Dallas TX, Executive , Fort Worth, Texas

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