Associate Business Process Analyst - Telecommute

Details: Position Description:This position works under the direction of the director of accreditation   Primary responsibility is to coordinate and conduct accreditation activities for standards related to UM, DM, CM, and Network Management/Credentialing. Assists director of accreditation with establishing cross-functional accreditation teams.  Actively participates in meetings and leads work groups as needed. Prepares application documents and evidence for accreditation surveys. Responds to questions on the administrative steps associated with accreditation. Conducts accreditation gap analysis and budget and cost benefit analysis as needed with director of accreditation. Performs mock accreditation audits and helps to close identified gaps.   Assist all UMV staff and UnitedHealth Group staff with quality improvement projects using URAC/NCQA standards. Integrates and incorporates current URAC/ NCQA standards and methodologies in all work products.  During Transition- in Phase the of T3 contact for the West Region, will assist with other start up CQM operations This position contributes to the development of the Annual Clinical Quality Management Plan and Annual Clinical Quality Management Report. Primary Responsibilities:•         Collaborates and facilitates with other departments to identify, develop, and evaluate projects which improve the delivery of clinical quality health care using URAC/NCQA methodology.•         Ensures URAC/NCQA accreditation standards are incorporated and maintained in UMV •         Assists with managing multiple Clinical Quality Management projects through use of project management tools and scientific methodologies.•         Creates project planning documents, including process flow charts, work plans and Gantt charts using various software programs.•         Performs research, both primary and secondary, under guidance of director of accreditation.•         Effectively and sensitively communicates with others while modeling effective facilitation and management skills.•         Maintains confidentiality and non-discoverability of all activities.•         Assist in revisions QM study proposals and plans.•         Participates in obtaining data for clinical quality studies, including obtaining baseline data, benchmarks, interventions, monitoring, re-measurement, and reporting.•         Assists and develops UMV Patient Safety quality improvement projects.•         Refers cases to Program Integrity, Case Management, Disease Management and Customer Services, as necessary.•         Provide status of all quality improvement projects at quality committees as needed. •         Performs all other duties as assigned.

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