Behavioral Health Triage Analyst
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 For those who want to help shape the future of health care, this role offers a meaningful opportunity to make an impact. As part of the Quality Management (QM) Team, the Behavioral Health Triage Analyst plays a pivotal role supporting the Behavioral Health Clinical Quality Analyst team across multiple aspects of Quality of Care (QOC) investigations. Responsibilities include managing regulatory Incident, Accident, and Death (IAD) portals; opening, triaging, and maintaining cases in internal QOC databases; and initiating medical record retrievals based on clinical judgment. In this role, you will build your career with an industry leader while contributing to work that truly matters. This is a fast-paced, high-impact role requiring strong attention to detail, adaptability, sound judgment, and resilience. High performance is recognized and rewarded, with clear expectations, structured guidance, and opportunities for professional growth across the organization. This position is full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of 7:00 am - 6:00 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. May be required to attend meetings at the office quarterly. 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
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience working in a behavioral health hospital, behavioral health facility, or outpatient behavioral health clinic
- Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Intermediate proficiency with Microsoft Word (ability to open, edit, save and send documents), Microsoft Excel (ability to work with multiple data bases to retrieve and enter information)
- Ability to work full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of 7:00 am - 6:00 pm MST.
Nice To Haves
- Active, unrestricted LPN license
- 2+ years of experience working as a Licensed Practical Nurse
- Experience working in a deadline driven environment prioritizing responsibilities.
- Knowledge of Behavioral Health Medicare/Medicaid regulations
Responsibilities
- Create, maintain, and manage confidential electronic investigation files for QOC cases
- Manage case entries, updates, and closures in regulatory IAD portals
- Open, triage, and manage QOC cases within internal databases
- Initiate medical record requests for QOC investigations based on clinical behavioral health team judgment
- Outreach to providers for additional information requests regarding QOC’s, CAP’s and Systemic
- Assist with management of the UHCCP QOC platform (Pega)
- Collaborate with Behavioral Health Clinical Quality Analysts, QM staff, and cross functional UHCCP departments
- Manage multiple tasks, projects, and changing priorities while prioritizing work products effectively
- Utilize multiple databases for data retrieval and entry, and learn new or complex UHCCP systems as required
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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
