UnitedHealth Group

Senior Clinical Quality Analyst - Lenexa, KS

Posted on: 19 Feb 2021

Lenexa, KS

Job Description

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. Here at OptumRx, we've earned the trust of more than 64 million people who rely on us for the prescription drugs that improve their health and lifestyles. When you join us, you'll be part of the UnitedHealth Group family of companies where you'll have some of the best training and tools in the world

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.

Primary Responsibilities

* 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 present recommendations and alternatives for management and executive review
* Assist in developing department strategic action plans
* Develop and implement effective analysis, research and evaluation of quality management metrics

In addition to fostering teamwork and collaboration, much of your work will involve data extraction. Strong auditing skills are essential. You'll also need the communication and persuasion skills to deal with clinical and non-clinical audiences.

Required Qualifications

* Bachelor's Degree or equivalent work experience
* 3+ years of health care or other relevant experience
* Ability to navigate Microsoft Access Databases and VBA
* 2+ years of experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes
* Ability to collect, analyze and present data
* You will be asked to perform this role in an office setting or other company location.
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas, In addition, employees must comply with any state and local masking orders.

Preferred Qualifications

* Experience creating reports related to quality improvement/performance outcomes
* Experience with quality measures such as HEDIS
* Experience with FSL and CPR+ preferred

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.

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.

Key words: UnitedHealth Group, Optum, OptumRx, Senior Clinical Quality Analyst, data extraction, CPR+, RN, Lenexa, KS, Overland Park, KS

UnitedHealth Group

Hopkins, MN

UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, and individuals; health and well-being services to individuals age 50 and older, addressing their needs for preventive and acute health care services, as well as services dealing with chronic disease and other specialized issues for older individuals; and Medicaid plans, Children’s Health Insurance Program, and health care programs; and health and dental benefits.

The OptumHealth segment provides access to networks of care provider specialists, health management services, care delivery, consumer engagement, and financial services. This segment serves individuals through programs offered by employers, payers, government entities, and directly with the care delivery systems.

The OptumInsight segment offers software and information products, advisory consulting arrangements, and services outsourcing contracts to hospital systems, physicians, health plans, governments, life sciences companies, and other organizations. The OptumRx segment provides pharmacy care services and programs, including retail network contracting, home delivery, specialty and compounding pharmacy, and purchasing and clinical, as well as develops programs in areas, such as step therapy, formulary management, drug adherence, and disease/drug therapy management. UnitedHealth Group Incorporated was founded in 1974 and is based in Minnetonka, Minnesota.

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