Sign In
 [New User? Sign Up]
Mobile Version

Performance and Quality Improvement Coordinator - Omaha, NE

UnitedHealth Group

Omaha, NE
Job Code:
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

751262 Performance and Quality Improvement Coordinator Omaha NE

Performance and Quality Improvement Coordinator - Omaha, NE (751262)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


This position is responsible for quality improvement and performance measures and projects.  This person will work closely with the health plan medical director and quality director to coordinate an interdisciplinary approach to increased performance and quality improvement. Provide education and leadership to both internal and external partners regarding performance improvement projects (PIP) and the continuous quality improvement process.  This includes steps for data collection, ongoing monitoring, analysis and review of quality outcomes for selected projects.  Primarily responsible for meeting performance improvement quality standards, state contractual requirements and collaborative project initiatives.


Primary Responsibilities:

  • Focuses organizational efforts on the improvement of clinical quality performance measures
  • Identifies population-based member barriers to care and works with the QMP team to identify local-level strategies to overcome barriers and close clinical gaps in care
  • Uses data to develop intervention strategies to improve outcomes
  • Supports quality improvement program studies with work that ranges from accessing and analyzing provider records, maintaining databases, and researching to identify members’ encounter history
  • Designs practice-level quality transformation through targeted clinical education and approved materials related to HEDIS / state-specific quality measures for provider and staff education during field visits
  • Engages providers in strategies to improve outcomes through collaborative partnerships
  • Develops and implements PIPs internally and across MCOs
  • Reports quality improvement and performance outcomes to MLTC

This position is an office position in Omaha, NE.

Required Qualifications:

  • Bachelor’s degree in science or equivalent work experience
  • Current unrestricted RN licensure for the state of Nebraska (preferred), or, at a minimum, a Certified Professional in Health Care Quality (CPHQ) or Certified in Health Care Quality and Management (CHCQM) or have comparable experience and education in data and outcomes measurement
  • 5+ years of clinical or field-related experience
  • 2+ years of experience in quality improvement or a related field such as Six Sigma
  • Experience working in Medicaid or Medicare
  • Knowledge of one or more clinical standards of care, preventive health standards, CMS standards, HEDIS, NCQA and governing and regulatory agency requirements
  • Proficiency in software applications that include Microsoft Word, Excel, Outlook and PowerPoint
  • Experience with presenting presentations and public speaking  

Preferred Qualifications:

  • Master's Degree
  • Project management and/or proven leadership skills
  • Health care and insurance industry experience, including regulatory and compliance

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)



Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Keywords: RN, Quality, CPHQ, CQCHM, data analysis, project manager, project management, healthcare, Six Sigma, MLTC, LTC, HEDIS, NCQA, quality improvement, Medicaid, NE, Nebraska, Omaha

Job Details

  • Contest Number751262
  • Job TitlePerformance and Quality Improvement Coordinator - Omaha, NE
  • Job FamilyMedical and Clinical Operations
  • Business SegmentCommunity and State

Job Location Information

  • Omaha, NE
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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.

Powered ByLogo

Featured Jobs[ View All ]

Featured Employers [ View All ]