Senior Clinical Quality Analyst – 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. 

For you, quality counts. For UnitedHealthcare, part of the UnitedHealth Group family of businesses, delivering quality care starts with processes and documentation standards that are the best in our industry. As a Senior Clinical Quality Analyst, you’ll be a force for positive change, guiding the development of comprehensive care plans that will help others live healthier lives. Join us and help guide our efforts to improve the patient experience

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Conducts quality of care investigations and manages case through corrective action process meeting timeliness standards
• Support and Develops inter-rater reliability assessments for clinical staff. Evaluates results and identifies quality improvement interventions
• Support audit functions in development of tools, analysis of results and identifications of corrective actions 
• Analyzes audit results, provides analysis trends and reports to Operations leadership and Quality committee
• Ensures issues/complaints are investigated, appropriate corrective action / preventive actions are implemented, through resolution. Tracks and trend issue and conducts corrective actions as needed
• Collect quality data for reporting and internal requests. Analyzes and interprets data to ensure standards are met and provides summary reports
• Identify quality improvement or intervention opportunities and is responsible for completing improvement initiatives; may work with cross-functional teams to achieve improvements
• Maintains all quality activities in accordance with URAC standards and contractual requirements
   

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:

• Current, unrestricted RN license in the State 
• 3+ years of experience in RN practice
• 2+ years of quality management and improvement experience
• 2+ years of clinical audit experience
• 1+ years of experience analyzing data and writing reports

Preferred Qualifications:

• Experience analyzing large sets of data and writing reports
• Experience conducting quality of care investigations
• TRICARE knowledge/experience
   

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 
 
  
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

  
 
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.