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Director, QI Vendor Mgmt and Member Experience - Remote

Company: UnitedHealth Group
Location: Reading
Posted on: March 17, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) The Director of Quality Improvement Vendor Management and Member Experience will oversee national quality improvement implementation activities for UnitedHealthcare's Individual & Family Plans (IFP), with the objective of maximizing star ratings and improving health outcomes for over 500,000 IFP members across 18 states. This position includes responsibility for day-to-day oversight of the quality improvement programs and vendors in partnership with key stakeholders. The primary focus of this individual will be directly engaging with and overseeing vendors to implement a blend of national and state-specific quality improvement programs for IFP. Accountabilities include defining business requirements and key performance metrics; managing contract execution and related activities; leading vendor management; and ensuring quality improvement programs are implemented on time and within budget. This individual will be expected to engage with internal stakeholders and subject matter experts to align on the quality improvement strategies that inform implementation. This position is responsible for overseeing administration of the Qualified Health Plan (QHP) Enrollee Experience Survey-equivalent to the Consumer Assessment of Healthcare Providers and Systems (CAHPS -) survey-across all IFP markets. This individual will oversee survey vendor performance and lead survey data analytics to improve quality performance within the member experience domain and support high quality performance overall for IFP. This Director of Quality Improvement Vendor Management and Member Experience will also lead the population health model for IFP. Accountabilities include overseeing the national IFP diabetes management program; partnering across multiple cross-functional teams to drive implementation of a member-facing national social determinants of health tool; and leading annual development, strategy, and monitoring of the IFP health risk assessment tool. As a quality improvement and population health leader for the IFP business, you will draw upon solid organizational and interpersonal skills, and an entrepreneurial mindset to drive initiatives from conceptual design through implementation and ongoing program management. This individual must possess a growth mindset, flexibility, agility, and the ability to adapt to change while maintaining solid relationships with stakeholders in a highly cross-matrixed environment. This individual will report to the Vice President of Clinical Quality & Health Equity for IFP and will partner closely with the IFP Director of Quality Operations & Oversight and the IFP Director of Health Plan Accreditation. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead implementation and vendor management for IFP quality improvement programs, including selecting vendors, managing contracting activities, developing business requirements, and leading vendor performance and effectiveness Collaborate with internal partners to develop the IFP Enrollee Experience Survey strategy and lead pre-season readiness activities, including preparing all readiness deliverables and providing information to the Survey vendor regarding reporting populations, survey eligibility, sample sizes, and oversample rates Perform analyses of Enrollee Experience Survey data, identifying member experience trends and using data to develop market-specific strategies to improve response rates and member experience quality scores Lead and drive the design, development, and management of national population health programs, including a diabetes management program and member-facing tools assessing health status and non-health related social needs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree 3 years of experience in a health care or managed care organization with demonstrated track record of increasing responsibility and accountability Experience designing, developing and/or implementing quality and population health management initiatives and / or programs Advanced or higher level of proficiency with Excel and PowerPoint Demonstrates exceptional relationship and teaming skills, with proven ability to collaborate and quickly build and maintain relationships across diverse functions Demonstrates excellent verbal and written communication skills Demonstrates self-starter, demonstrated ability to structure own work, design and drive projects from their inception through to completion Demonstrated ability to work productively and proactively in a dynamic, fast paced and constantly changing environment Preferred Qualifications: Master's degree in public health, public policy, or business Experience working on vendor management within UnitedHealth Group or another health care entity, including in performing data analyses, tracking vendor performance on key metrics, and overseeing vendors and holding them accountable for delivering results Extremely organized and able to keep initiatives on track to meet deadlines; project management experience Experience with the Individual Exchange, Medicaid, or Commercial benefit plans Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none. California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $101,200 to $184,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.

Keywords: UnitedHealth Group, Reading , Director, QI Vendor Mgmt and Member Experience - Remote, Executive , Reading, Pennsylvania

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