Clinical Content Developer of Prior Authorization - Remote

Lensa; Boston (MA); Remote; USD 71,000 - 141,000; Full time

Job summary

Lensa is seeking a Clinical Content Developer of Prior Authorization to work remotely within the U.S. This role involves developing and updating clinical content based on the highest evidence standards, collaborating with various teams, and applying extensive medical knowledge. The position offers a competitive salary range and comprehensive benefits.

Benefits

Comprehensive benefits package

401k contribution

Incentive and recognition programs

Qualifications

• Experience of 3+ years in Acute Inpatient Care.
• Demonstrated proficiency with software applications.
• Experience with utilization management or case management preferred.

Responsibilities

• Develop clinical content through evidence-based review.
• Perform Quality Assurance of clinical content.
• Collaborate with Product teams to ensure project timelines.

Skills

Communication

Critical Thinking

Problem-solving

Education

Licensed Healthcare professional - RN, NP, PA

Tools

MS Office suits

MS Word

MS Excel

MS PowerPoint

Job description

Clinical Content Developer of Prior Authorization - Remote

Clinical Content Developer of Prior Authorization - Remote

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together .

The licensed Clinical Content Developer RN, NP, PA develops and updates the clinical content of Optum Clinical Products. Using critical appraisal and review of medical literature, synthesis of clinical information, and data analysis and with collaboration of external peer reviewers, their role is to ensure the clinical content represents best evidentiary practice standards and will meet requirements for different users, applications, and contexts. The Clinical Content Developer is also responsible for quality assurance (QA) of the content and for responding to internal and external client questions and concerns.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Utilizing the principles of evidence-based medicine (EBM), design, develop, and update clinical content through the critical appraisal and synthesis of information gathered from extensive review of the medical literature for the InterQual Level of Care product line. Collect and incorporate feedback from external peer reviewers and clients to ensure real-world clinical accuracy and usability

Perform Quality Assurance of clinical content and create and maintain clinical documentation, as required

Serve as a clinical resource and subject matter expert for both internal and external customers

Collaborate with Product Development (PD), Product Management (PM), Product Owner (PO), and Business Systems Analyst (BSA) as needed

Participate in developing project plans, monitoring tasks, and ensuring on-time delivery of clinical development projects

Participate in field research that contributes to product advancement as needed

Travel Limited

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

• Licensed Healthcare professional - RN, NP, PA - with a license in good standing
• 3+ years of experience in Acute Inpatient Care
• Demonstrated proficiency with various software applications, including but not limited to MS Word, MS Excel, MS PowerPoint
  
  

Preferred Qualifications

• 5+ years of experience in Medical- Surgical or Intensive Care Unit or Primary Care setting
• 3+ years of experience in a clinical associated environment or a case management role
• 1+ years of experience writing and summarizing clinical research studies
• Experience with utilization management (UM), case management, or use of evidence-based guidelines such as InterQual/Clinical Decision Support applications
• Proven willingness to learn and explore new technologies
• Research and Evidence-Based Medicine (EBM) knowledge or experience
• Proven knowledge of medical coding schemes
• Demonstrates ability to adopt technology or has proficiency with various software applications, including but not limited to MS Office suites, Teams, and proprietary software
• Proven problem-solving and critical thinking skills; ability to step through logical pathways to arrive at results
• Proven solid verbal and written communication skills
• Proven results-oriented, effective as both a team member and independent worker with attention to detail and ability to multi-task
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Marketing, Public Relations, and Writing/Editing

• Industries

  IT Services and IT Consulting

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