Senior Behavioral Clinical Quality Auditor Orange Rockland Bronx New York Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

If you're a motivated professional who's searching for a new way to use your Behavioral Health expertise, we encourage you to apply for this high-visibility position. As our Senior Behavioral Clinical Quality Auditor, you will travel throughout New York and other areas as needed ensuring the highest quality performance.

If you are located in NY, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Traveling up to 75% of the time to conduct on-site clinician, group and facility audits
• Working to ensure our members receive the best possible treatment from a network of high-quality clinicians and facilities
• Attending team meetings to stay up to date on issues including inter-rater reliability, department meetings, training, and other department tasks
• Sending letters to providers
• Scoring audits and writing audit reports
• Providing exit interviews and feedback
• Maintaining communication with auditing entity and provide support throughout the audit process
• Developing your own travel schedule
• Scheduling travel and completing expense reports
• Tracking and documenting all activities

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:

• A Master's degree
• Independent licensure in the Behavioral Health field such as: LCSW, LMFT, LPC, LMHC
• 2+ years of experience in behavioral health
• Solid computer skills at the intermediate level including proficiency in MS Office
• Must live New York City or surrounding counties (Bronx, Rockland and Orange preferred)
• Active driver’s license
• Must have a designated workspace and access to high speed internet service

Preferred Qualifications:

• 6+ months of experience in managed care
• Auditing Experience
• NCQA and JCAHO familiarity
• Quality improvement knowledge

New York Residents Only: The salary range for New York residents is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment