Senior Clinical Quality Analyst - Telecommute - Colorado

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.

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the United Healthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages throughout Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the state where we live, work, and play - because we're Colorado too.

The Senior Clinical Quality Analyst supports United Healthcare/RMHP objectives and priorities by facilitating and coaching designated teams in the implementation of redesign and quality improvement strategies to improve health plan performance on prioritized metrics and projects. Assists in assessment of progress and recommends strategies to achieve collaborative goals and facilitate sustainability. Use project management and communication skills and work collaboratively with the Manager and other intra and extra department managers to coordinate assigned projects and initiatives.

If you are located in Colorado, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Utilizes technical and professional experience to implement and monitor performance goals
• Utilizes digital design and strong communication skills (writing and oral) to deliver content/messaging through various mediums to the provider network and other external stakeholders
• Utilizes clinical knowledge of physical and behavioral health care to support quality review activities. Integrates this activity with other initiatives such as HEDIS and other health plan activities and key performance indicators
• Utilize project management skills including planning, development, coordination, monitoring, reporting and evaluations of program/initiatives
• Assists with development of programs, projects and strategies to improve Member/provider satisfaction, total cost of care, health equity initiatives, and better health outcomes.
• Participates in or coordinates with other department projects as needed
• Travel to job related meetings and activities may be required

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 in health care management, nursing, behavioral health, related field or the combination of education and experience that would enable performance of the full scope of the position
• 5+ years of post graduate progressive medical related experience with a minimum of 2-3 of those years in public health, quality improvement, and ambulatory settings
• 1+ years of experience with coordinating and monitoring projects and programs
• 1+ years of experience with Microsoft Products Suite
• Experience with quality improvement principles to include research and measurement
• Ability to work collaboratively with diverse individuals and functions at all levels of the organization and external customers
• Demonstrated solid oral and written communication skills that includes digital design and using communication platforms (ie. Zoom, Salesforce, Constant Contact, etc.)
• Knowledge base of clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements
• Ability to interact with staff at all Company levels and work in a fast-paced environment
• Colorado State Resident
• 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:

• Master's Degree
• 1+ years of working in managed care or insurance industry, and working with coordinating and monitoring projects and programs
• Experience with health data analysis and health education
• Experience with health information technology
• Attention to detail

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

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). For more than 225,000 members of our unique, physician-founded health care organization, we provide innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. As a part of Optum, the fastest growing part of the UnitedHealth Group family of businesses, we've enhanced our offerings through sophisticated tools and technologies, superior customer service and a commitment to striving to improve the health and wellness of our Members and partners in the state where we live, work, and play - because we're Colorado, too. From a career perspective you couldn't do better. We're all about quality and making a difference. And can make our opportunities your opportunity to do your life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $66,100 to $118,300. 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 Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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.