Senior Behavioral Health Quality Auditor - Remote & On-site

Preferra Insurance; Salt Lake City (UT); Hybride; USD 73 000 - 130 000; Plein temps

Résumé du poste

UnitedHealth Group/UnitedHealthcare is seeking a Senior Clinical Quality Auditor to guide care quality and drive improvements in behavioral health. The role emphasizes audits, data analysis, and actionable feedback to providers.

You will travel to Salt Lake and Tooele counties, with occasional on-site presence and remote work options. The position offers a comprehensive benefits package and potential to influence patient care standards.

Qualifications

• Currently licensed as a mental health therapist in the state of residence.
• 3+ years of professional mental health experience.
• Experience auditing behavioral health clinical records.
• Experience identifying data targets and analyzing results related to quality improvement/performance outcomes.
• Knowledge of the behavioral health services in Salt Lake and/or Tooele Counties.
• Proficient in Microsoft Word, PowerPoint and Excel.
• Proven professional writing and verbal communication skills when interacting with customers and behavioral health providers.
• Proven ability to collect, analyze and present data.
• Proven ability to travel to Utah locations to conduct on site audits of providers.
• Designated workspace and access to install secure high speed internet.

Responsabilités

• Complete treatment record review audits and provide feedback results.
• Implementing audit plan for Behavioral Health Providers at all covered levels of care for treatment of mental health and substance use disorders.
• Initiate and monitor provider corrective action plans (CAPs) as appropriate to improve performance.
• Travel to conduct on-site audits for providers in Tooele and Salt Lake County on an occasional basis.
• Develop and present recommendations and alternatives to improve quality and/or outcomes for management and executive review.
• Participate in developing and implementing effective analysis, research and evaluation of quality management metrics.
• Collaborate in the design, creation and implementation of quality improvement projects and initiatives.
• Manage and host audit of the customers to include scheduling, organizing records, completing and submitting reports.

Description du poste

UnitedHealth Group/UnitedHealthcare is seeking a Senior Clinical Quality Auditor to guide care quality and drive improvements in behavioral health. The role emphasizes audits, data analysis, and actionable feedback to providers.

You will travel to Salt Lake and Tooele counties, with occasional on-site presence and remote work options. The position offers a comprehensive benefits package and potential to influence patient care standards.