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CDQI Process Improvement Associate Director - Telecommute

UnitedHealth Group

Cypress, CA
Job Code:
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Job Details

CDQI Process Improvement Associate Director - Telecommute(Job Number:696619)

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)


CDQI is charged with effectively implementing, monitoring, and executing on government pay for performance programs with a special focus on Risk Adjustment and HEDIS. CDQI processes on a national level by providing support in all markets served by Optum Local Care Delivery.

This position will report into the VP of CDQI Operations and will be responsible for driving strategic process  improvement  initiatives around Risk Adjustment & Quality across Optum Local Care Delivery. 


Primary Responsibilities:

  • Implementation of Quality Initiatives:

    • HEDIS/STAR tool
    • Gaps in care
    • HEDIS/STAR programs
  • Risk Adjustment Initiatives:

    • Best practices for provider engagement
    • Provider incentives
    • Member engagement
    • Embedded clinical model
    • Equipment & Screenings
  • Training programs
  • Compliance programs

Critical Success Factors:

  • Working in a matrix environment to drive efficiencies through influence
  • Seeks ways to improve job and operational efficiency and makes suggestions as appropriate
  • Takes ownership of the total CDQI process and provides constructive information to minimize problems and increase provider and market satisfaction

  • Partners with Local Care Delivery leadership teams and Optum management across markets to coordinate execution and implementation in all markets

  • Ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company

Job Business Process & TQM
Primary Location US-CA-Cypress
Other Location US-NV-Las Vegas, US-CA-Irvine
Organization Local Care Delivery Shared Svc
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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