San Antonio, Texas, Texas
Togus, Maine
Rio Rancho, New Mexico
Indianapolis, Indiana
Baltimore, Maryland
Posted: 15-Aug-24
Location: Makati, Philippines
Salary: Open
Categories:
Internal Number: 141000323
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibility:
Provides leadership and support in establishing the 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.
Participate in NCQA HEDIS or Health Plan audits.
Analyze data for possible data integrity and data deficits.
Update QI Project templates and Work plan with assigned responsibilities.
Attend and participate in all QI meetings.
Performs all other related duties as assigned.
Sets team direction, resolves problems and provides guidance to members of own team.
May oversee other activities of own team.
Required Qualification:
Must have an active USRN Mainland License (Preferably in the state of TX)
- • At least 5 years of clinical experience – combined hospital and managed care
• Had at least 2 years of people management experience
• Excellent written and verbal communication and relationship building skills
• Strong problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action
• Experienced using Microsoft office applications, including databases, word-processing, outlook, and excel spreadsheets
• Willing to go on RTO (Makati only)
• Must be able to review paper and electronic medical records and charts
• Familiar with HEDIS measures or STAR programs
- • At least 5 years of clinical experience – combined hospital and managed care
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.
Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.
Optum is a drug-free workplace. © 2024 Optum Global Solutions (Philippines) Inc. All rights reserved.
