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CDQI Regional Manager - CCM & Screening Program - Telecommute US

UnitedHealth Group

Eden Prairie, MN
Job Code:
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CDQI Regional Manager - CCM & Screening Program - Telecommute US(Job Number:699290)

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 & OptumCare Services


This position will report into the CDQI Director of Market Relations and will be responsible for supporting the CCM (Complex Care Management) Regional Associate Director in cultivating relationships and driving implementation of Risk Adjustment & Quality initiatives for CCM OptumCare Services organizations. This role will also drive operational implementation and management of screening equipment programs across Care Delivery and Care Services (i.e. QuantaFlo).


Primary Responsibilities:

  • Primary support resource for CCM Regional Associate Director to ensure consistent support and value to CCM
  • Secondary contact for CCM organization leadership and staff
  • Ownership and Management of CDQI and CCM deliverables as it relates to Risk and Quality Initiatives – specifically:

    • Serve as Operations lead for Chart Review Team

    • Summarize findings of reviews and participate in the development of education programs for long-standing results

    • Support Regional Associate Director to summarize global findings for education programs and programmatic risk and quality opportunity

    • Serve as liaison between market, chart review team, and chart retrieval vendor

    • Develop, manage, and lead chart retrieval operations for remote chart review team

    • Manage vendor costs and monitor ROI for chart retrieval

    • Manage Chart Review Program

    • Develop reportable metrics to gauge performance on a market by market level

    • Use reporting and feedback to drive continuous improvement

  • Program Manager for screening equipment deployment and maintenance (i.e. QuantaFlo) for Care Delivery and Care Services
  • Lead/facilitate meetings to drive execution of initiatives
  • Attendance at meetings for broader Care Delivery initiatives
  • Drive delivery and maintain project plan timelines
  • Ensure prompt escalation of challenges/issues that will impact the business and initiative delivery
  • Partner with internal CDQI team to provide tools and materials for CCM
  • Collaborate with peers to maintain CCM knowledge across the team

Job Business Process & TQM
Primary Location US-MN-Eden Prairie
Other Location US-TX-Austin, US-PA-Pittsburgh, US-NC-Greensboro, US-GA-Atlanta, US-IL-Chicago
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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