Sr Clinical Quality Analyst - Behavioral Health - Remote

Company: UnitedHealth Group
Location: San Jose
Posted on: May 28, 2023

Job Description:

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. -


Enjoy great training, a supportive team environment and regional travel! -


This position will require 75% travel including overnights weekly in the Pacific and Mountain time zones. States for travel will be Colorado, Oregon, Washington and occasionally Wyoming and Montana.


Optum, a UnitedHealth Group company, is a leading provider of emotional wellness services. By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals. We offer specialized, confidential support to help our members live and work well, and excellent resources and rewards for your career so you can do the same. A healthy business awaits you at Optum.


If you're a motivated professional who's searching for a new way to use your mental health expertise, we encourage you to apply for this high-visibility position in our Operations Division. As our Senior Clinical Quality Analyst, you would travel across the western region and the US ensuring the highest quality performance from our dedicated staff. You would also gain exposure throughout our organization and have a chance to advance into a variety of different areas.


If you are located in the MST and PST time zones, 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 and facility audits throughout the assigned region in the Western United States
  
• Working to ensure our members receive the best possible treatment from a network of high-quality clinicians and facilities
  
• Attending team meetings by phone to stay up to date on issues and discuss inter-rater reliability
  
• Developing your own travel schedule
  
• Sending letters and samples of audits to providers
  
• Scoring audits and writing audit 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 Mental Health field such as: -LCSW, MFT, LPC, PhD license in you state of residence
    
  • Active Driver's License
    
  • 2+ years of experience in behavioral health
    
  • 6+ months of experience in managed care environment
    
  • Access to high speed internet from home (Broadband cable, DSL or Fiber)
    
  • A dedicated workspace from home
    
  • Computer proficiency
    
  • Ability to travel 75% of the time in Pacific and Mountain time zones including overnight travel
    
  • 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:
    
    
    • 
      
    • Experience performing quality audits of medical records for behavioral health/substance use
      
    • Work experience in a role requiring out of state travel at least 25% of the time
      
    • Quality improvement knowledge
      
    • NCQA, HEDIS, and JCAHO familiarity
      
      
      
      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. -
      
      
      California, Colorado, Nevada, New York, or Washington Residents Only: The salary range for California, Colorado, Nevada, New York, or Washington 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.

Keywords: UnitedHealth Group, San Jose , Sr Clinical Quality Analyst - Behavioral Health - Remote, Healthcare , San Jose, California