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CDQI Regional Associate Director – New Markets - Telecommute US

UnitedHealth Group


Location:
Salt Lake City, UT
Date:
03/24/2017
Job Code:
1719338
Apply on the Company Site
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Job Details


CDQI Regional Associate Director – New Markets - Telecommute US(Job Number:701661)
Description

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 (Clinical Documentation & Quality Improvement) is charged with effectively implementing, monitoring, and executing on clinical documentation and quality programs that promote patient health while improving the provider practice experience with a special focus on Medicare Risk Adjustment and HEDIS.  CDQI processes on a national level by providing support in all markets served by OptumCare Delivery.

 

 

This position will report into the Director of Market Relations and will be responsible for developing relationships and driving implementation of Risk Adjustment & Quality initiatives across new OptumCare Delivery organizations

 

The Regional Associate Director is responsible for managing the Market Relations program operations and providing market-focused support and value to the OptumCare Delivery Organizations.  This includes monitoring & providing transparency to results and assisting in issue resolution/escalation.  Effective facilitation and communication with leadership, CDQI internal teams, and external business partners is imperative.

 

 

Primary Responsibilities:

  • Medicare Risk Adjustment

    • Best practices for Provider engagement, incentives, and workflow
    • Member engagement and growth
    • Screening equipment coordination, migration, and deployment
    • Supplemental embedded clinical model options/opportunities
  • Quality Initiatives:

    • Best practices for HEDIS/Star programs; tool deployment/coordination
    • Gaps in care
  • Training & 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 Care Delivery leadership teams and Optum management across markets to coordinate execution and implementation
  • 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-UT-Salt Lake City
Other Location 
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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