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Director of Quality Improvement - San Antonio, TX

UnitedHealth Group

San Antonio, TX
Job Code:
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Job Details

Director of Quality Improvement - San Antonio, TX(Job Number:700378)

The Director of Quality / HEDIS is responsible for coordinating and implementing quality initiatives designed by enterprise / OHCC to continuously improve all aspects of health care delivery.  This includes communication and monitoring of initiatives as well as promoting culture changes that support an environment of quality.  This position is also responsible for coordinating and implementing HEDIS, CAHPS and HOS projects and assisting with data analysis and report preparation for Regional Success Collaborative as well as OHCC.  The Director works closely and collaboratively with various functional areas of the delivery system and OHCC to achieve the goals and objectives of the QI/HEDIS program.  
Primary Responsibilities:
  • Provides leadership and support in establishing and directing the Quality Program consistent with the delivery system / OHCC directives
  • Develops and / or maintains policies and procedures that support the corporate initiatives that meet State, Federal legal requirements and standards
  • Collaborates with physicians to execute the implementation of the clinical quality data initiatives as defined by enterprise and / or OHCC
  • Provides expertise to the training department on HEDIS measures and tools that support collection of and communication about HEDIS to the enterprise
  • Works with Enterprise on developing and implementing HEDIS member engagement strategies
  • Works with OHCC leadership to provide information or data as requested
  • Facilitates, integrates, and / or coordinates the implementation and evaluation of identified quality improvement / HEDIS activities as requested by UHG or related companies
  • Promotes understanding, communication and coordination of all quality improvement program components
  • Participates in requested evaluations and audits
  • Coordinates reporting on quality initiatives to all appropriate committees
  • Assists with the development of the QM and UM Work Plan, Evaluation and the monitoring of Work Plan activities as they relate to PI
  • Develops operating budget as necessary
  • Participates in various teams, committees and meetings at any level required to maintain business necessity
  • Maintains QI program documents, reports, and committee minutes and follows all internal privacy and confidentiality policies and procedures
  • Maintains current knowledge of regulatory requirements associated with the QI program
  • Oversees HEDIS data submission process
  • Leads accreditation efforts as defined by enterprise
  • Performs all other related duties as assigned

Job Quality Management
Primary Location US-TX-San Antonio
Other Location 
Organization WellMed Medical Mgmt, Inc
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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