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Director, Clinical Quality - San Diego office

UnitedHealth Group

San Diego, CA
Job Code:
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Job Details

Director, Clinical Quality - San Diego office(Job Number:710372)

The Director, Clinical Quality is the primary health plan leader accountable for establishing and implementing an effective quality improvement program essential to meet NCQA and requirements of the state.
Primary Responsibilities:
  • Serve as primary liaison with UHC Community National Quality Team, effectively leveraging and coordinating national quality team resources and initiatives with local health plan quality resources, initiatives and requirements
  • Providing primary oversight for quality initiatives that meet contractual requirements
  • Responsible for NCQA readiness, accreditation, and ongoing compliance with NCQA requirements
  • Providing effective leadership and management oversight of direct reports and members of the quality team
  • Developing and implementing programs and processes to achieve HEDIS and state value-based purchasing program requirements
  • Establishing and implementing initiatives to achieve maximum results from CAHPS and state provider satisfaction survey initiatives
  • Establishing and implementing governance and oversight of health plan quality program, including coordination of committee structure described in the health plan quality improvement program
  • Serve as primary driver of Performance Improvement within the health plan, including committee oversight, work plans and annual evaluation
  • Serve as the lead in Compliance with CA State requirement for quality Improvement. including but not limited Facility Site Reviews
  • Serve as the lead in establishing and implementing Health Education Program

Job Quality Management
Primary Location US-CA-San Diego
Other Location 
Organization C&S Quality Management
Schedule Full-time
Number of Openings 1
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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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