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 to start Caring. Connecting. Growing together.
The Quality Performance Improvement (QPI) Manager is responsible for leading, developing, and executing quality improvement initiatives that align with state and federal regulatory requirements. This role ensures the health plan meets or exceeds performance benchmarks through data-driven interventions, formal reporting, and continuous monitoring. The QPI Manager will serve as the primary liaison for state quality reporting and will oversee the development and implementation of Performance Improvement Projects (PIPs), Quality Improvement Plans (QIPs), and other quality-related initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Ideal candidate will reside in the state of Washington.
Primary Responsibilities:
Program Management & Development
Data Monitoring & Analysis
Monitor and analyze quality performance metrics (e.g., HEDIS, CAHPS, CMS, NCQA)Use data to identify trends, gaps, and opportunities for improvementDevelop dashboards and tracking tools to monitor progress and outcomesIntervention Design & Implementation
Collaborate with internal teams and external providers to design and implement evidence-based interventionsEvaluate the effectiveness of interventions and adjust strategies as neededProvide technical assistance and training to providers and staffState & Regulatory Reporting
Prepare and submit formal quality reports to state agencies, including annual QIPs and PIPsEnsure compliance with all regulatory and accreditation requirementsServe as the primary point of contact for state quality audits and reviewsStakeholder Engagement
Facilitate cross-functional quality improvement committees and workgroupsCommunicate quality goals, progress, and outcomes to internal and external stakeholdersFoster a culture of continuous quality improvement across the organization
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 experience in healthcare quality improvement, preferably within a managed care or health plan settingProject management experience, manage timelines, create chapter, manage end to end, timelinesSolid knowledge of HEDIS, CAHPS, CMS, NCQA, and state Medicaid/Medicare quality requirementsExperience with data analysis, performance measurement, and quality improvement methodologies (e.g., PDSA, Lean, Six Sigma)Proficiency in Microsoft Office Suite and data visualization tools (e.g., Excel, Power BI, Tableau)Advanced level proficiency with ExcelAdhere to PST work schedule
Preferred Qualifications:
Certification in healthcare quality (e.g., CPHQ)Experience managing state-submitted quality improvement projectsFamiliarity with value-based care and population health strategiesReside in the state of WashingtonExcellent written and verbal communication skills, especially in formal reporting
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.