Behavioral Health Clinical Triage Analyst

UnitedHealth Group • Phoenix, AZ

3d • $29 - $52 • Remote

About The Position

This position is Remote in AZ. You will have the flexibility to work remotely as you take on some tough challenges.
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. While this role offers remote flexibility, employees may be expected to report to the office for in-person meetings as needed.
This is a challenging, high impact role within a fast paced environment that requires focus, attention to detail, resilience, and adaptability. Strong performance is recognized and rewarded. Employees are provided with clear expectations, ongoing guidance, and development opportunities to support both success in the role and potential growth into other areas of interest within the organization.
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.

Requirements

• Bachelor’s degree in Psychology, Sociology, OR Social Work
• Must be 18 years of age OR older
• 2+ years of Arizona behavioral health experience, including work with providers or health plans and AHCCCS (Medicaid)
• Experience working with the AHCCCS Incident, Accident, and Death (IAD) Portal
• Experience managing competing priorities in a fast paced, deadline driven environment
• Experience working with multiple databases to efficiently retrieve, input, and maintain accurate information
• Experience working with electronic health records (EHRs), Health Information Exchanges (HIEs), and internal systems
• Intermediate proficiency with Microsoft Office applications, including: Word (creating, editing and saving documents) and Excel (creating, editing, and saving documents and spreadsheets) Outlook (email and calendar management) Microsoft Teams (Chat and creating channels)
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. While this role offers remote flexibility, employees may be expected to report to the office for in-person meetings as needed

Nice To Haves

• Master’s degree in Psychology, Sociology, OR Social Work, with active licensure (LAC, LPC, LMSW, LCSW, LACT, LIAC) through the Arizona Board of Behavioral Health Examiners
• 2+ years of experience in behavioral health, quality management, clinical quality investigations, or equivalent relevant experience
• Knowledge of Behavioral Health Medicaid regulations
• Understanding of quality improvement principles and practices
• Reside within the state of Arizona.
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

• Work within the AHCCCS Incident, Accident, and Death (IAD) Portals and internal UHCCP IAD platforms.
• Assist Behavioral Health (BH) Quality of Care (QOC) Clinical Analysis staff by gathering internal and external information and documentation, including obtaining medical records for submitted IADs, to support determinations regarding potential deviations in care.
• Effectively interface with external behavioral health provider offices and facilities by providing education and guidance on AHCCCS IAD portal requirements, ensuring compliance with timeliness standards outlined in the AMPM and contractual requirements.
• Manage administrative functions related to QOC investigations by supporting the Behavioral Health Clinical Quality Analyst team with document preparation, case setup, and triage activities.
• Collaborate with Quality Management (QM) RN Supervisors and the QM Associate Director on administrative duties related to physical health IADs.
• Collaborate internally with other QM departments and cross functional teams within UHCCP.
• Manage multiple tasks, projects, and shifting priorities while effectively organizing and prioritizing work products.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees