Top 2708 Senior clinical manager Jobs in Pennsylvania

Clinical Quality Manager - Remote in Pennsylvania
UnitedHealthcare —Fort Washington, PA
- $91,700 - $163,700 a year
- Full-time
- Remote
- RN License
- Writing skills
- Pass drug screening
10d
Alternative Health & Advocacy Solutions COE Senior Project Manager
CVS Health —Pennsylvania
- $67,900 - $199,144 a year
- Full-time
- Remote
- 7 years
- Presentation skills
- Bachelor's degree
- Health insurance
- Dental insurance
2d
Senior Corporate Security Manager
Howmet Aerospace —Pittsburgh, PA
- $130,000 - $150,000 a year
- Full-time
- Hybrid work
- Spanish
- 7 years
- Military
- Health insurance
- 401(k)
Quick Apply
Senior Product Manager, Healthcare
Zeta Global —California, PA
- $160,000 - $180,000 a year
- Remote
- HIPAA
- Product management
- Senior level
- Health insurance
- Dental insurance
7d
Regional Clinical Development Manager - PA, NJ, NYC - Remote, USA
Calyxo —Philadelphia, PA
- $180,000 a year
- Remote
- Surgery
- Ability to walk for extended periods
- Office
- Health insurance
- 401(k)
Quick Apply
Senior Manager, Learning and Development Technical Lead
Jazz Pharmaceuticals —Philadelphia, PA
- $141,600 - $212,400 a year
- Remote
- Computer Science
- Master's degree
- Supervising experience
- Health insurance
- Dental insurance
Senior Manager, Clinical Operations - FSP Resource & Vendor Management
CSL Behring —King of Prussia, PA
- $170,000 - $201,000 a year
- Full-time
- Hybrid work
- 8 years
- Bachelor's degree
- Senior level
3d
Senior Manager I, Operations Improvement, Facility (PHL1)
Walmart —Bethlehem, PA
- $116,000 - $174,000 a year
- High school
- Office
- 3 years
- Paid jury duty
- Disability insurance
Healthcare Epic Senior Manager
Deloitte —Philadelphia, PA
- $180,200 - $355,100 a year
- Full-time
- 6 years
- Oracle
- SQL
- Health insurance
Senior Inside Sales Manager Pre-Engineered Metal Buildings (PEMB)
Guardian Construction Management Services, Inc —Murrysville, PA
- Full-time
- Background check
- Office
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Tax Manager/Senior Tax Manager CPA or EA
Riley and Company, Inc. —Stroudsburg, PA
- $140,000 - $160,000 a year
- Email
- Hybrid work
- Background check
- CPA
- Office
- Health savings account
- Paid holidays
Quick Apply
Outpatient Clinical Manager
Family Pathways —Butler, PA
- Email
- Background check
- LMFT
- Licensed Clinical Social Worker
- Continuing education credits
- 403(b) matching
Quick Apply
Plumbing/Mechanical Project Manager (2+ Years Prior Experience)
Cooper Mechanical Solutions —Willow Grove, PA
- $80,000 - $125,000 a year
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
Project Manager
Parratt-Wolff Inc —Watsontown, PA
- Clean driving record
- Mid-level
- Driver's License
- Relocation assistance
Reconstruction Project Manager
Damage Control —Eynon, PA
- From $65,000 a year
- Full-time
- Clean driving record
- Sales
- Mid-level
- Paid training
- Fuel card
Quick Apply
PROJECT MANAGER
McGinnis Electrical Contracting Company —Mc Kees Rocks, PA
- From $95,000 a year
- Full-time
- Construction site
- Mid-level
- Analysis skills
- Health savings account
- Paid holidays
Quick Apply
7d
Project Manager Structural Steel
Company Hiring —Carlisle, PA
- $50,000 - $70,000 a year
- Full-time
- Management
- PMP
- Construction site
- Health insurance
- Dental insurance
Quick Apply
Small Projects Manager - Mechanical
Devine Brothers Inc. —King of Prussia, PA
- $60,000 - $100,000 a year
- Full-time
- Construction site
- 5 years
- Project management
- Health savings account
- AD&D insurance
Quick Apply
Business/Project Development Manager - Northeast
Carboline Global Inc. —Pittsburgh, PA
- Full-time
- 5 years
- Ability to lift 50 pounds
- Business development
- Health insurance
- Dental insurance
Quick Apply
Project Manager/Estimator
Uhrig Construction —Reading, PA
- $72,623.95 - $87,461.11 a year
- Full-time
- Construction site
- 5 years
- Math
- Health insurance
- Dental insurance
Quick Apply
8d

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Clinical Quality Manager - Remote in Pennsylvania

UnitedHealthcare -
Fort Washington, PA

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year
10 days ago

Qualifications

Medical performance measurement report preparation
Managed care
Managed care organization experience
Writing skills
Quality control audit
Quality reports
Clinical audit and monitoring
Team management
Project management experience in healthcare
Continuous clinical improvement initiatives
Managing projects
Quality audits
Insurance (Financial sectors)
Audit support
Quality assurance experience within healthcare

Full Job Description

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Quality Management Manager will monitor and support the health plan quality improvement initiatives with particular emphasis on HEDIS, NCQA, and State Performance measures. You'll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives.

If you are located in Pennsylvania, you will have the flexibility to work remotely* as you take on some tough challenges. This position will travel up to 10% in the PA market.

Primary Responsibilities:

Oversee the implementation of plan's quality improvement program (QAPI)
Work to coordinate the work with the clinical, operations, and network teams to improve HEDIS and NCQA performance and to close gaps in care
Manage Quality work plan programs and activities
Collaborate across local and national business segments to achieve goals and targets
Develop and maintain positive relationships with external state organizations within the scope of Quality Management
Continuously monitor HEDIS, NCQA, and state performance measure results and adjust programs to ensure targeted goals
Support Performance Improvement Projects, accreditation, and regulatory audits as needed
Develop and mentor quality department staff
Oversee quality quarterly review meetings with state partners
Serve as panelist for grievance and appeal hearings

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:

RN License in the state of Pennsylvania AND/OR Master's degree in a Healthcare Field (e.g. Public Health, Health Administration, Health Education, etc.)
Experience with HEDIS and NCQA - quality improvement project experience
Experience managing staff or staff mgmt. for projects
Experience writing reports and managed care industry
Experience with outside audit organizations such as External Quality Review Organizations (EQROs)
Reside in the state of Pennsylvania and ability to travel up to 10% in the PA market

Preferred Qualifications:

2+ years demonstrated Management experience with responsibility for team performance management
Quality improvement experience within a health plan
Experience with excel (working with pivot tables) and creating PPT presentations
Medicaid experience
Clinical experience/background
Ability to make independent decisions
Change management experience and demonstrated skills
Ability to complete various deliverables utilizing scholarly writing and AI technology
Experience with outside audit organizations such as External Quality Review Organizations (EQROs)
Experience with managed care and insurance industry
Experience in writing reports and analyzing performance data
Experience creating detailed reports and project management

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 $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

Apply Now

Refine Your Search

senior clinical manager jobs in pennsylvania

Clinical Quality Manager - Remote in Pennsylvania

Alternative Health & Advocacy Solutions COE Senior Project Manager

Senior Corporate Security Manager

Senior Product Manager, Healthcare

Regional Clinical Development Manager - PA, NJ, NYC - Remote, USA

Senior Manager, Learning and Development Technical Lead

Senior Manager, Clinical Operations - FSP Resource & Vendor Management

Senior Manager I, Operations Improvement, Facility (PHL1)

Healthcare Epic Senior Manager

Senior Inside Sales Manager Pre-Engineered Metal Buildings (PEMB)

Tax Manager/Senior Tax Manager CPA or EA

Outpatient Clinical Manager

Plumbing/Mechanical Project Manager (2+ Years Prior Experience)

Project Manager

Reconstruction Project Manager

PROJECT MANAGER

Project Manager Structural Steel

Small Projects Manager - Mechanical

Business/Project Development Manager - Northeast

Project Manager/Estimator

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