Top 2185 Healthcare quality improvement Jobs in Wisconsin

Clinical Quality Consultant - Wisconsin - Remote
Optum —Milwaukee, WI
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
Quick Apply
Surgical Technologist
Upper Mississippi Surgery Center LLC —Hazel Green, WI
- Part-time
- Surgery
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Director of Nursing (DON) - Full-Time Exempt
River's Bend Health Services —Manitowoc, WI
- Up to $120,000 a year
- Weekends as needed
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
9d
Wellness Director, LPN
The Waterford at Park Falls —Park Falls, WI
- Nursing
- Management
- RN License
- Paid training
- Health insurance
Quick Apply
Clinic Director
Team Rehabilitation Services, LLC —Sheboygan, WI
- $90,000 - $120,000 a year
- Full-time
- 5 years
- Physical & Rehabilitation Medicine
- Outpatient experience
- Profit sharing
- Health insurance
RN Patient Care Manager - Hospice
Allay Hospice —Milwaukee, WI
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Respiratory Therapy Manager
Eden Senior Care —Milwaukee, WI
- $85,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Supervising experience
Quick Apply
Early Head Start Nutritionist
La Casa De Esperanza, Inc —Waukesha, WI
- From $25 an hour
- Part-time
- 18 years or older
- Experience working with children
- Bachelor's degree
- Paid time off
- Employee discount
Quick Apply
Medical Director
Wis Phys Svc Ins Corp —Madison, WI
- Hybrid work
- Medicine
- BC/BE
- 3 years
- Health insurance
- Dental insurance
6d
Licensed Telehealth Therapist / Mental Health Counselor (Wisconsin)
Prosper Health —Milwaukee, WI
- $55 - $60 an hour
- Choose your own hours
- Remote
- Licensed Clinical Social Worker
- Adults
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical-Surgical Director (FT)
Edgerton Hospital —Edgerton, WI
- Full-time
- Nursing
- RN License
- Hospital
- AD&D insurance
- Disability insurance
Quick Apply
Pharmacist
Pharmacy First Health —Phillips, WI
- $60 - $70 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Bachelor's degree
- Profit sharing
- Relocation assistance
Quick Apply
Hospice Music Therapist
Olive Grove Hospice —River Falls, WI
- $22 - $26 an hour
- Part-time
- Background check
- Clean driving record
- Current TB test
Quick Apply
Psychiatrist
MedConnect —Fort Atkinson, WI
- $300,000 - $400,000 a year
- Full-time
- Medicine
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Director of Nursing
Four Winds Manor and Lodge Inc. —Verona, WI
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health savings account
- Health insurance
Quick Apply
Hospital Pharmacist Supervisor
Mercy Health System Corporation —Janesville, WI
- $132,424.13 - $198,636.19 a year
- Full-time
- Management
- Hospital
- Computer literacy
- Paid parental leave
- Health savings account
Quick Apply
Mobile Dental Hygienist
HealthNet of Rock County, Inc. —Janesville, WI
- $36 - $39 an hour
- Full-time
- Background check
- Experience working with children
- Children
- Paid time off
Quick Apply
Respiratory Therapy Manager
Froedtert South, Inc. —Pleasant Prairie, WI
- Full-time
- Acute care
- PALS Certification
- Hospital
- Opportunities for advancement
Quick Apply
13d
COTA - PRN
Oakwood Village —Madison, WI
- Part-time
- Public speaking
- Mid-level
- Older adults
Quick Apply
Certified Athletic Trainer
Team Rehabilitation Services, LLC —Glendale, WI
- $27 - $37 an hour
- Part-time
- Mid-level
- Outpatient experience
- Clinic
- Profit sharing
- Health insurance

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Clinical Quality Consultant - Wisconsin - Remote

Optum -
Milwaukee, WI

Quick Apply

Job Details

Full-time
$60,200 - $107,400 a year

Qualifications

Microsoft Excel
Microsoft Outlook
Employee relationship building
Client relationship development
HEDIS

Full Job Description

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.

The Clinical Quality Consultant (CQC) drive clinical relationships and engagement with account management, quality registered nurses, physician practices, members, and pharmacies while partnering internally (with areas such as Network contract ACO managers, Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality, and practice performance while reducing medical costs. Positions are accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS and STARs gap closure, coding accuracy, facilitating effective education, and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities using data analytics, technology, workflow changes and clinical support. These roles develop comprehensive, provider-specific plans to increase their physician practice performance, reduce readmissions and improve their outcomes.

Position Details:

Schedule: Monday - Friday, 8:00am - 5:00pm
If you are located in Wisconsin, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Provide analytical interpretation of HEDIS, Stars, Pharmacy, CAHPS and HOS reporting, supplemental data submissions, EMR sweep reporting, Vendor performance reporting, Lab Data Pulls, including executive summaries to account management and provider groups
Participate in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities, which summarize provider group performance and market performance, as requested by, or required by Quality or Local leadership
Evaluate provider group/provider office structure and characteristics, operations, and personnel to identify the most effective approaches and strategies in improving STAR measures
Perform chart review and data abstraction
Maintain effective and ongoing communications and relationship with assigned provider groups and account managers

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:

1+ years HEDIS/STARS experience and/or knowledge
Experienced in medical record review
Demonstrated experience with decision-making., Experience should include in-depth, hands-on exposure in dealing with multiple constituents and customers
Basic knowledge of Microsoft Office applications, including Word, Excel, and Outlook
Demonstrated success working in dynamic, fast-paced environment
Proven ability to assist with focusing activities on a strategic direction to achieve targets
Proven excellent time management and prioritization skills
Proven excellent verbal and written communication skills
Proven solid relationship building skills; ability to interact with providers, medical staff, peers, and internal company staff at all levels
Proven solid problem-solving skills and ability to analyze problems, draw relevant conclusions, develop, and implement appropriate plan of action
Currently reside in the state of Wisconsin

Preferred Qualifications:

Knowledge of managed care requirements related to clinical quality and provider relations

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 $60,200 - $107,400 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.

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Quick Apply

Refine Your Search

healthcare quality improvement jobs in wisconsin

Clinical Quality Consultant - Wisconsin - Remote

Surgical Technologist

Director of Nursing (DON) - Full-Time Exempt

Wellness Director, LPN

Clinic Director

RN Patient Care Manager - Hospice

Respiratory Therapy Manager

Early Head Start Nutritionist

Medical Director

Licensed Telehealth Therapist / Mental Health Counselor (Wisconsin)

Medical-Surgical Director (FT)

Pharmacist

Hospice Music Therapist

Psychiatrist

Director of Nursing

Hospital Pharmacist Supervisor

Mobile Dental Hygienist

Respiratory Therapy Manager

COTA - PRN

Certified Athletic Trainer

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