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Form of workEnjoy training, a supportive team environment and travel in New York
This position will require 75% travel including overnights weekly.
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.
Talk about meaningful work. Talk about a significant role. Let's talk about your next career move. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care.
As a Senior Clinical Quality Analyst, you will support health plan quality improvement initiatives with particular emphasis on compliance with state, and federal regulatory guidelines.
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 Clinical Quality Analyst, you will travel throughout New York ensuring the highest quality performance.
If you are located in Western New York, 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:
- Master's degree
- Independent licensure in the Behavioral Health field such as: LCSW, LMFT, LPC, LMHC
- Active driver's license
- 2+ years of experience in behavioral health
- Solid computer skills at the intermediate level including proficiency in MS Office
- Must live in Western New York
- Designated workspace and access to high speed internet service
- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifications:
- 6+ months of experience in managed care
- Auditing Experience
- Quality improvement knowledge
- NCQA and JCAHO familiarity
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
New York Residents Only: The salary range for New York residents is $67,800 to $133,100. 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 employer 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.
