Clinical Quality Analyst - Remote Colorado Preferred - 2280280

UnitedHealth Group; Grand Junction (CO); Remote; Confidential; Full time

Job summary

Join a leading health care company as a Clinical Quality Analyst, where you'll play a crucial role in ensuring quality health care through oversight and education. This position offers the flexibility to work remotely from anywhere in the U.S., with a focus on collaboration and data analysis. You'll be responsible for quality assurance reviews, maintaining confidentiality, and supporting performance improvement plans. Ideal candidates will have a behavioral health clinical license and experience in a health care setting.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 3+ years of experience in a health care or managed care setting.
• Current and unrestricted behavioral health clinical license.

Responsibilities

• Collaborate with Quality Assurance Team and external providers.
• Gather and analyze data for audit activities.
• Educate clinicians on quality improvement rules.

Skills

Data Analysis

Confidentiality

Collaboration

Education

Behavioral Health Clinical License

Tools

Microsoft Word

Microsoft Excel

Outlook

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

The Clinical Quality Analyst is responsible for supporting corporate objectives and ensures quality health care by providing oversight of Behavioral Health quality of care through Quality Assurance education and auditing.

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

Primary Responsibilities:

• Work collaboratively with the Quality Assurance Team, QA Team Lead, RMHP Medical Directors, external providers and clinicians, and others as necessary to ensure the integrity of quality assurance reviews
• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position
• Awareness of all State and Federal Rules, as well as contracts and billing manuals, in order to effectively audit clinicians, providers, and facilities
• Support program monitoring and audit activities and performance improvement plans by:
  • Gathering and analyzing data
  • Preparing written audit reports for providers and clinicians
  • Working collaboratively to improve the member and provider experiences
• Educate clinicians and providers on relevant rules and regulations related to quality improvement
• This position may require travel. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage

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:

• Current and unrestricted behavioral health clinical license (LCSW, LMSW, LPC or LMFT)
• 3+ years of experience in a health care setting and/or managed care setting
• Intermediate computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment
• Ability to work Monday – Friday 8:00 am – 5:00 pm MST

Preferred Qualifications:

• Experience collecting and analyzing data, creating reports, and presenting to various audiences related to regulatory compliance, quality improvement, and performance outcomes
• Experience working with providers
• Demonstrated ability to manage multiple projects simultaneously

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $28.61 to $56.06 per hour 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.