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Operations Quality Director - Telecommute

Company: UnitedHealth Group Inc.
Location: Eden Prairie
Posted on: June 6, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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

Primary Responsibilities:

  • Manage the daily operations of the Operations Quality team
  • Assist in the development and implementation of the program plan and program evaluations
  • Monitor and analyze program performance metrics (QASP and key performance indicators), identify and report to leadership gaps in performance and/or patterns/trends.
  • Accountable for quality assurance audit program for operational units under contract
  • Manage audit inventory and balance workload assignments
  • Analyze audit findings and communicate and report to senior leaders and government officials.
  • Serve on cross-organizational quality committees to identify and communicate quality issues, trends, and patterns
  • Investigate quality problems identified, collect additional information, and implement corrective and preventive actions (CAPAs) and performance improvement initiatives to close gaps
  • Identify, communicate, and implement improvement opportunities
  • Direct and lead CAPAs to meet key performance metrics and maintain contract compliance
  • Work collaboratively with operating units to close gaps and ensure contract requirements are met
  • Develop, update, and/or review policies and procedures
  • Manage satisfaction surveys process and analyzes and reports results

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:

  • Bachelor's degree
  • 3+ years of experience leading/working all aspects of an Operational Quality program
  • 3+ years of experience in healthcare
  • 3+ years management experience
  • Experience preparing written communications and presentations to multiple levels of leadership, particularly reports with findings/recommendations
  • Experience with quality business processes and six sigma methodologies
  • Experience with performance measurement tools and continual process improvement techniques
  • Intermediate proficiency in MS Word, Excel and Powerpoint
  • If you need to enter a work site for any reason, you will be 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. 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 attained

Preferred Qualifications:

  • 2+ years healthcare call center, claims, and/or other operations experience
  • Experience in managed care and/or government health care programs
  • Military experience
  • Ability to educate, motivate, and/or influence others to understand quality processes and engage in and commit to the process

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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: operations quality, operational quality, healthcare, management, quality business processes, six sigma, performance measurement, continuous process improvement, healthcare call center, claims, managed care, government health care programs, military, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

Keywords: UnitedHealth Group Inc., Eden Prairie , Operations Quality Director - Telecommute, Other , Eden Prairie, Minnesota

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