Company: UnitedHealth Group Position: Quality Solutions Delivery Specialist Location: Atlanta, GA Posted: 12/06/18 End Date: Until Filled Job Description: The Quality Solutions Delivery Specialist will be responsible for ongoing management and operational support to dedicated markets / reporting populations to achieve HEDIS® results.
This role will be responsible for ongoing management of market/reporting population specific quality measures. The Quality Solutions Delivery Specialist will work in partnership with the market-level quality director to strategically increase HEDIS®, CMS STARs and state- specific measure performance scores by monitoring, measuring and reporting on key metrics to meet or exceed quality standards, contractual requirements and pay for performance incentives. This role is dedicated to Quality Solutions Delivery.
Individual must be highly organized, possess strong leadership skills, with demonstrated professional maturity and emotional resilience. Day to day work varies based on time of year, with overarching goal to increase collection of member compliant information resulting in improved HEDIS® rates. The core work during HEDIS® collection season includes oversight of medical record collection and abstraction, collaboration with Vendor Management, complete non-compliant review, and rate maximization. Employs a priority measure approach to HEDIS® data collection and gap closure.
If you are located in the Eastern or Central time zone, you will have the flexibility to telecommute* as you take on some tough challenges.
Interested candidates may apply online at https://careers.unitedhealthgroup.com for additional information and instructions on how to apply.