29 days old

Director, Survey Performance-Telecommute - 929848

San Antonio, TX 78205
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  • Job Code
    929848

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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This position has responsibilities for CAHPS/HOS Performance Improvement activities for OptumCare across multiple geographies. Serves on multiple Optum Clinical and Quality Committees and leadership teams designed to provide strategic direction for all local care delivery groups within Optum.

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The Director, Survey Performance, provides strategic direction, leadership, and oversight for enterprise CAHPS/HOS performance. This role is responsible for planning, organizing, and directing the administration of all CAHPS/HOS Programs/Strategies. Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior-level professional staff. Responsible for coordinating with appropriate personnel to meet operational program needs, ensures compliance with state/federal health plan requirements, Medicare guidelines, NCQA, and health plan requirements. Provides long-term planning and oversight to ensure activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company.

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Youll enjoy the flexibility to telecommute* from anywhere in the USas you take on some tough challenges

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Primary Responsibilities:

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  • Provides leadership and support in establishing and directing the CAHPS/HOS Program for OptumCare
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  • Develops and maintains policies and procedures that support the corporate initiatives that meet State, Federal legal requirements and standards
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  • Collaborates with physicians to execute the implementation of the CAHPS/HOS initiatives as defined by enterprise and Optum LCDO
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  • Provides expertise to the training department on CAHPS/HOS measures and tools that support collection of and communication about HEDIS/STAR to the enterprise
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  • Develops HEDIS/STAR member and provider engagement strategies
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  • Collaborates with OptumCare executive team to execute HEDIS/STAR strategies
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  • Works with Optum LCDO Quality leadership team to provide HEDIS/STAR reporting and to develop strategic direction
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  • Facilitates, integrates, and/or coordinates the implementation and evaluation of identified CAHPS/HOS/quality improvement/HEDIS/STAR activities as requested by UHG/UHC or related companies
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  • Promotes understanding, communication, and coordination of all quality improvement program components
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  • Participates in requested evaluations and audits for UHC and other health plans
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  • Coordinates reporting on quality initiatives to all appropriate committees
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  • Participates in various teams, committees, and meetings at any level required to maintain business necessity
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  • Maintains CAHPS/HOS program documents, reports, and committee minutes and follows all internal privacy and confidentiality policies and procedures
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  • Oversees the CAHPS/HOS survey process for all contracted health plans
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  • Leads the coordination and completion of projects with cross-functional teams and senior leaders across medical/nursing/clinical functional areas to achieve targeted clinical strategic performance goals
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  • Oversees medical/nursing/clinical workflow mapping, performance monitoring, and coaching site visits in clinic settings using process improvement methodologies to identify workflow gaps and establish future-state recommendations
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  • Directs medical/nursing/clinical best practice identification and standardization adoption in clinical settings with cross-functional teams and senior leaders
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  • Directs and promotes clinical support for clinic staff and nursing roles (RN/LVN Health Coach) with subject matter expertise and resources for population management, nurse advocacy, and development opportunities, and nurse coaching/feedback programs
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Youll 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.

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Required Qualifications:

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  • Masters degree in Healthcare or Business Administration (8 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Masters degree)
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  • 8+ years of management-level experience in managed care Quality programs required, including 5+ years of experience at the Director level or above
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  • Demonstrated knowledge of the business environment and business requirements (e.g., strategy changes, emerging business needs)
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  • Knowledge of CAHPS, HOS, NCQA HEDIS requirements, and CMS STAR requirements
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  • Ability to establish and maintain effective working relationships with employees, managers, healthcare professionals, physicians, and other members of senior administration and the general public
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  • Excellent verbal, written communication, presentation, and facilitation skills
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  • Knowledge of fiscal management and human resource management techniques
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  • Ability and willingness to travel both locally and non-locally as determined by business need
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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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)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Colorado Residents Only: The salary range for Colorado residents is $110,200 to $211,700. 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, youll find a far-reaching choice of benefits and incentives

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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.

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

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Job Keywords: Director, Survey Performance, Denver, CO, Colorado

Posted: 2021-05-22 Expires: 2021-06-21

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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Director, Survey Performance-Telecommute - 929848

UnitedHealth Group
San Antonio, TX 78205

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