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 to start Caring. Connecting. Growing together.

Positions in this function are responsible for direction and guidance on clinical quality improvement and management programs including accreditation. Conducts clinical quality audits and may also be responsible for NCQA requirements. Responsible for the reporting and analysis of member care quality and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools.

If you are located in Los Angeles, CA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff Work most often impacts a large business unit, or multiple markets/sites Develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites Directs others to resolve business problems that affect multiple functions or disciplines Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external)

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:

5+ years of clinical experience  3+ years of clinical quality management experience  3+ years of experience working in managed care or in the insurance industry Demonstrated ability to lead with strategic direction as well as develop tactical plans, drive performance and achieve targets  Subject matter expert for CMS Special Needs Plans Models of Care (SNP MOC)  Proven ability to develop and present formal presentations in various settings and to Sr. Leaders

Preferred Qualifications:

Experience leading large scale projects within a highly matrixed organization Experience with document oversight and archival processes Proficient with writing Models of Care for NCQA submissions Familiarity with member complaint processes and requirements  

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California Residents Only: The hourly range for this role is $16.00 to $20.05 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.  

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.   
   
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.