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Senior Consultant, Clinical Quality - Telecommute

UnitedHealth Group

Eden Prairie, MN
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Job Details

745522 Senior Consultant Clinical Quality Telecommute

Senior Consultant, Clinical Quality - Telecommute (745522)

Position Description

What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. You'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting.


As a Senior Consultant you'll provide consulting services to strengthen and improve health care operations that result in stronger financial returns and a healthier health care system. You'll use your strong strategic and business acumen to work closely with clients to define, develop and document business requirements to ensure needs are captured and critical deliveries are executed. This consulting career gives you the opportunity to travel and share in a mission that inspires. You'll see your ideas come to life and your achievements recognized. You won't find tougher challenges. And you won't find smarter people working together to solve them. Join us and start doing your life's best work.(sm)


You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Provide support and guidance on clinical quality operations, quality improvement initiatives and quality management programs
  • Serve as a subject matter expert for HEDIS, CAHPS, Medicare Star Ratings, and other state specific regulatory programs such as CA IHA P4P
  • Provide project management support for consulting engagements
  • Provide consulting support for client engagements
  • Assist in the development of written proposals and power point decks to support business development efforts
  • Support root cause analysis and develop targeted interventions designed to improve clinical quality outcomes
  • Assist with the development and execution of strategic plans to support targeted quality improvement interventions for specific HEDIS measures
  • Support the development, launch and execution of new consulting offerings and technical tools managed by the clinical quality consulting practice group
  • Write programs in SAS or SQL to support consulting engagement deliverables
  • Perform in-person presentations for clients related to HEDIS data

Required Qualifications:

  • 5+ years of experience in HEDIS data operations
  • Intermediate to Advanced Knowledge of SQL
  • 3+ years of Database experience with Oracle, Microsoft, and/or Teradata
  • 3+ years of HEDIS related report development experience in SAS or SQL
  • Strong project management skills
  • Ability to travel up to 80% 

Preferred Qualifications

  • 3+ years of HEDIS management experience
  • 3+ years of Medicare Star Rating experience
  • Base SAS Programmer or Advanced SAS Programmer Certification
  • 3+ year of experience with standard and non-standard supplemental data

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy



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: HEDIS, SAS, SQL, project management, data operations, telecommute, remote, work from home

Job Details

  • Contest Number745522
  • Job TitleSenior Consultant, Clinical Quality - Telecommute
  • Job FamilyOptumInsight Consulting
  • Business SegmentOptumInsight

Job Location Information

  • Eden Prairie, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionYes
  • 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.

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