Clinical Quality Analyst - Remote Colorado preferred
UnitedHealth Group•Grand Junction, CO
•Remote
About The Position
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.
Requirements
- Current and unrestricted behavioral health clinical license (LCSW, LPC, LMSW, LMFT, LAC or LPCC)
- 3+ years of experience in a health care setting and/or managed care setting
- 1+ years of experience using Excel to manipulate through use of formulas, pivot tables, etc
- Intermediate level of 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
Nice To Haves
- LCSW or LPC
- Experience collecting and analyzing data, creating reports, and presenting to various audiences related to regulatory compliance, quality improvement, and performance outcomes
- Prior experience auditing behavioral health providers
- Experience working with providers
- Demonstrated ability to manage multiple projects simultaneously and work independently
- Reside in the state of Colorado
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
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
