Behavioral Health, Senior Quality Improvement Specialist Telecommute from NY


: $60,680.00 - $83,990.00 /year *

Employment Type

: Full-Time


: Telecommuting/Work-At-Home

Talk about meaningful work. Talk about an important 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 Quality Analyst you will monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements. Youll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives. Heres your opportunity to discover your life's best work.(sm)

UnitedHealthcare Quality Management & Performance is an integrated team serving all UnitedHealthcare businesses. Were focused on improving the health of our members, enhancing our operational effectiveness and reinforcing brand and reputation for high-quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment.

Primary Responsibilities:
  • Author behavioral health policy updates, incorporating regulatory requirements and operational needs in conjunction with department heads
  • Design, create and implement behavioral Health 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
  • Provide analytical support and expertise when compiling and reporting information
  • Develop and present recommendations and alternatives for management and executive review
  • Assume responsibility for data integrity among various internal groups and/or between internal and external sources
  • Lead and/or mentor associates
  • Assist in developing department strategic action plans including identification of objectives, goals and strategies
  • Develop and implement effective analysis, research and evaluation of quality management metrics
  • Develop, analyze and monitor new, routine and ad hoc reports using multiple data sources and systems
  • Facilitate Quality Meeting

Required Qualifications:

  • Minimum of Bachelor's Degree
  • 3+ years of behavioral healthcare quality management experience
  • Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment. Create, edit, save and send documents utilizing Microsoft Word
  • Demonstrated ability to manage multiple projects simultaneously
  • Ability to collect, analyze, and present data
Preferred Qualifications:
  • Prior experience in policy development
  • Managed care experience a plus
  • Prior experience creating reports related to quality improvement/performance outcomes
  • Previous experience with quality measures such as HEDIS
  • 2+ years experience developing and implementing performance improvement projects, or using data to develop intervention strategies to improve outcomes
  • Previous accreditation experience (such as NCQA or URAC)

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Keywords: Quality Improvement; Quality Management; Behavioral Health; HEDIS; URAC; NCQA, policy development, telecommute, NY

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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