Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping …
Skills: Clinical nursing, Managed care, HEDIS, Quality improvement, Delegated oversight
Project Manager (Owner's Representative) - Data Center Construction
Houston, Texas, United States · On-site
$140k–$220k/yr
Senior+
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Laboratory Technician II – Analytical Geochemistry
Houston, Texas, United States · On-site
Mid level
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The role involves supporting contracted providers in the Houston market with quality and HEDIS initiatives through education, audits, and compliance reviews. You will lead provider-facing meetings, analyze performance trends, and drive gap closure activities to improve health outcomes.
Requirements
Candidates must hold an active, unrestricted RN license with at least 5 years of clinical nursing experience and 2 years in managed care. Proficiency in quality reporting tools, regulatory standards like CMS/NCQA, and the ability to travel within the Houston market are essential.
Full job description
Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
Support contracted providers within the Houston market on quality and HEDIS initiatives
Conduct provider and clinic education regarding quality measures and performance expectations
Perform delegated oversight activities, audits, monitoring, and compliance reviews
Analyze audit findings, identify trends and risks, and recommend corrective actions
Lead provider-facing meetings and communicate performance results
Support gap closure activities and quality improvement initiatives
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:
Active, unrestricted RN license
5+ years of clinical nursing experience
2+ years of managed care experience supporting Commercial, Medicare, Medicaid, or SNP populations.
Experience with audits, delegation oversight, utilization management, quality improvement, or clinical compliance activities
Experience with quality reporting and audit documentation tools used within delegated oversight programs
Solid understanding of CMS, NCQA, HEDIS, and regulatory/accreditation requirements
Proficiency in Microsoft Outlook, Teams, Word, Excel, and PowerPoint
Proficiency in Microsoft Copilot and general AI-enabled tools
Proficiency in educating, influencing, and presenting to providers and clinic leadership
Proven ability to navigate multiple EMR platforms used by provider groups
Must reside in the Houston, TX market
Willing and able to travel throughout the assigned market as needed
Valid driver's license required, along with reliable transportation for local travel
Preferred Qualifications:
Advanced degree(s)
Experience navigating multiple EMR systems
Experience with delegated oversight and accreditation environments
Solid HEDIS knowledge and experience with quality metrics
Experience working with CMS, NCQA, and managed care quality programs
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 $72,800 - $130,000 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.
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
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How many Consulting jobs are open in Houston, TX right now?
There are currently 2,370 open consulting positions in Houston, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Consulting roles in Houston, TX?
Companies currently hiring include AECOM, H&R Block, Turner & Townsend, KBR, Inc., WSP, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Consulting jobs in Houston, TX?
Yes — 958 of the 2370 open consulting positions offer remote or hybrid work (231 remote, 727 hybrid).
How do I apply for Consulting jobs in Houston, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.