What are the responsibilities and job description for the Veterans Affairs Community Care Network - CCN - Scientific Studies Manager - Remote position at UnitedHealth Group?
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Veterans Affairs Community Care Network (CCN) Scientific Studies Manager works under the supervision of the Director of Clinical Quality Management and leads the CQM study team. The individual in this role is a subject matter expert in conducting clinical quality audits, clinical quality studies (CQS), clinical quality improvement initiatives (QIIs), and clinical quality improvement projects (QIPs) using scientific methodology. Responsible for the reporting and analysis of provider/institution care performance and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools.
You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities* Leads CQM study team, sets team direction, resolves problems and provides team guidance and oversight for all studies and quality improvement activities
* Conducts CQS, QIIs, and QIPs
* Identify appropriate sources for data or information either internally or externally and collect data/information
* Analyze and interpret data or information
* Identify and drive quality improvement or intervention opportunities through completion and work cross-functionally with other departments/stakeholders as appropriate
* Develop or update work plans, policies and procedures
* Prepare reports, presentations, and communicates quality data or information in writing or verbally
* Prepares team development plans and performance evaluations in alignment with departmental and organizational goals
* Ensures work products adhere to scientific methodology and integrates URAC and NCQA standards
* Creates, reviews, and revises CQM study plans and reports
* Manage or actively participate in meetings (e.g., schedule, present, document meeting results, facilitate)
* Review results, conduct analyses (e.g., evaluate against goals/effectiveness of interventions over time), and prepare reports on findings
* VA CCN provider performance monitoring process
* Oversees the data analysis, timely completion of projects, deliverables and performance improvement process
* Evaluate current processes, compare to relevant standards or specifications and identify gaps in compliance or performance
* Develop and/or assist with corrective action plans based on audit findings or customer feedback
* Assists with accreditation activities, as needed
* Assists in the development of Patient Safety Initiatives
* Maintains compliance with the VA CCN contractual requirements
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
* RN with current, active license without restriction in required state(s) or higher license OR equivalent Active Clinical License such as Pharmacist
* 5 years clinical experience
* 2 years experience conducting research and studies
* 2 years supervisory/management experience
* Professional writing research/study reports experience
* Statistical data analysis, testing and interpretation
Preferred Qualifications:
* Master’s degree in Nursing, Administration or Business
* Certified Professional in Healthcare Quality® (CPHQ)
* 2 years Clinical Quality Management experience
* Government program (TRICARE, VA) experience
* Proven solid analytical skills and knowledge /experience with statistical tools
* Comprehensive knowledge of research methodology, HEDIS measures, benchmarking
* Moderate to advanced computer skills with emphasis on Microsoft Office software (Word, Excel, Access, PowerPoint), Databases, and Tableau
* Demonstrated ability to analyze quality data to formulate conclusions from multiple sources of complex data and communicate complex ideas clearly and concisely
Optum, a part of the UnitedHealth Group family of businesses, continues to evolve and make a bigger impact through its extensive expertise in combining technology, data and people to create novel health care solutions and services across the globe is following suit by creating and delivering care that meets the health needs of active duty service members, veterans and their families. We're partnering with federal and state government agencies to meet the readiness and health needs of active duty military members and veterans by providing preventive health screenings and assessments to ensure that troops are ready to answer the call of duty. For those who want to intensify their impact in a career that brings together challenge, learning and growth, OptumServe is the right place to do your life’s best work.(sm)
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 $85,000 to $167,300. 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.
The Veterans Affairs Community Care Network (CCN) Scientific Studies Manager works under the supervision of the Director of Clinical Quality Management and leads the CQM study team. The individual in this role is a subject matter expert in conducting clinical quality audits, clinical quality studies (CQS), clinical quality improvement initiatives (QIIs), and clinical quality improvement projects (QIPs) using scientific methodology. Responsible for the reporting and analysis of provider/institution care performance and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools.
You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities* Leads CQM study team, sets team direction, resolves problems and provides team guidance and oversight for all studies and quality improvement activities
* Conducts CQS, QIIs, and QIPs
* Identify appropriate sources for data or information either internally or externally and collect data/information
* Analyze and interpret data or information
* Identify and drive quality improvement or intervention opportunities through completion and work cross-functionally with other departments/stakeholders as appropriate
* Develop or update work plans, policies and procedures
* Prepare reports, presentations, and communicates quality data or information in writing or verbally
* Prepares team development plans and performance evaluations in alignment with departmental and organizational goals
* Ensures work products adhere to scientific methodology and integrates URAC and NCQA standards
* Creates, reviews, and revises CQM study plans and reports
* Manage or actively participate in meetings (e.g., schedule, present, document meeting results, facilitate)
* Review results, conduct analyses (e.g., evaluate against goals/effectiveness of interventions over time), and prepare reports on findings
* VA CCN provider performance monitoring process
* Oversees the data analysis, timely completion of projects, deliverables and performance improvement process
* Evaluate current processes, compare to relevant standards or specifications and identify gaps in compliance or performance
* Develop and/or assist with corrective action plans based on audit findings or customer feedback
* Assists with accreditation activities, as needed
* Assists in the development of Patient Safety Initiatives
* Maintains compliance with the VA CCN contractual requirements
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
* RN with current, active license without restriction in required state(s) or higher license OR equivalent Active Clinical License such as Pharmacist
* 5 years clinical experience
* 2 years experience conducting research and studies
* 2 years supervisory/management experience
* Professional writing research/study reports experience
* Statistical data analysis, testing and interpretation
Preferred Qualifications:
* Master’s degree in Nursing, Administration or Business
* Certified Professional in Healthcare Quality® (CPHQ)
* 2 years Clinical Quality Management experience
* Government program (TRICARE, VA) experience
* Proven solid analytical skills and knowledge /experience with statistical tools
* Comprehensive knowledge of research methodology, HEDIS measures, benchmarking
* Moderate to advanced computer skills with emphasis on Microsoft Office software (Word, Excel, Access, PowerPoint), Databases, and Tableau
* Demonstrated ability to analyze quality data to formulate conclusions from multiple sources of complex data and communicate complex ideas clearly and concisely
Optum, a part of the UnitedHealth Group family of businesses, continues to evolve and make a bigger impact through its extensive expertise in combining technology, data and people to create novel health care solutions and services across the globe is following suit by creating and delivering care that meets the health needs of active duty service members, veterans and their families. We're partnering with federal and state government agencies to meet the readiness and health needs of active duty military members and veterans by providing preventive health screenings and assessments to ensure that troops are ready to answer the call of duty. For those who want to intensify their impact in a career that brings together challenge, learning and growth, OptumServe is the right place to do your life’s best work.(sm)
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 $85,000 to $167,300. 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.
Salary : $85,000 - $167,300
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