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Senior Clinical Data Analyst - Miramar, Florida

UnitedHealth Group

Miramar, FL
Job Code:
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Job Details

Senior Clinical Data Analyst - Miramar, Florida(Job Number:709281)

In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm)


This position manages and coordinates plan-wide efforts to ensure that all PIP and NCQA HEDIS programs are developed and maintained using a data-driven focus that sets priorities for improvements aligned to ongoing strategic imperatives. Develops and communicates the strategic vision, scope and mission of all PIP and NCQA HEDIS initiatives.


Primary Responsibilities:

  • Builds, directs, manages, and ensures implementation and effectiveness of PIP and NCQA HEDIS processes that lead to a positive and measurable impact on member health outcomes
  • Researches and designs appropriate plan-wide PIP training
  • Establishes a continuous PIP and NCQA HEDIS effort and monitoring and reporting system
  • Ensure relevancy and application to day to day operations
  • Regularly (monthly or more often as required) reports the status of PIP and NCQA HEDIS efforts and impacts, and communicates timely all plan, regional, national, and state-mandated deliverables associated with the same
  • Collaborates on the design of the information technology infrastructure required to support PIP and NCQA HEDIS initiatives
  • Ensures needed data is collected on a timely basis, regular reports on progress are distributed, and makes recommendations for future improvements based on the data
  • Participates in a national network of performance improvement professionals, sharing best practices, tools and materials while participating in ongoing communication activities and capacity-building peer
  • exchanges
  • Searches out best performance and quality improvement practices, making the plan aware of them and suggesting areas where they could be implemented
  • Actively participates in the plan quality committee (QMC) by serving as a member and standing agenda item presenter regarding PIP and NCQA HEDIS initiatives
  • Develops and implements a plan-wide communication plan of all PIP and NCQA HEDIS activities, and develops and implements a recognition program for PIP Workgroup Improvement Teams
  • Other duties and projects as assigned


This is an office based role

Job Quality Management
Primary Location US-FL-Miramar
Other Location US-FL-Fort Lauderdale, US-FL-Miami
Organization C&S Quality Management
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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