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Senior Clinical Quality Analyst - Hybrid in Las Vegas, NV job in Chicago at UnitedHealth Group

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Senior Clinical Quality Analyst - Hybrid in Las Vegas, NV at UnitedHealth Group

Senior Clinical Quality Analyst - Hybrid in Las Vegas, NV

UnitedHealth Group Work From Home, IL Full-Time

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 



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: 




  • Helps to maintain NCQA accreditation requirements for behavioral health

  • Quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement using applicable tools

  • Design, create and implement quality improvement projects and initiatives

  • Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending and presenting information for quality management planning and management needs

  • Develop and implement effective analysis, research and evaluation of quality management metrics



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: 




  • Bachelor's Degree or a minimum of two years demonstrated quality experience

  • 3+ years of experience in health care insurance systems and processes

  • 2+ years of experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes

  • Proficient with Microsoft Word, Excel and PowerPoint

  • Ability to commit to Hybrid work model – 3 days in office, 2 days from home

  • 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: 




  • Previous NCQA accreditation experience

  • Behavioral health experience

  • Experience creating reports related to quality improvement/performance outcomes

  • Project Management skills





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 at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm) 





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





Nevada Residents Only: The salary range for Nevada residents is $72,800 to $129,900. 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.  







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.   

Recommended Skills

  • Auditing
  • Behavioral Medicine
  • Continuous Quality Improvement (Cqi)
  • Forecasting
  • Health Care
  • Metrics
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