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Hours Full-time, Part-time
Location Latham, NY
Latham, New York

About this job

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. You’ll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives. Here’s your opportunity to discover your life's best work.(sm)  
  
UnitedHealthcare Quality Management & Performance is an integrated team serving all UnitedHealthcare businesses. We’re 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: 


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 Meetings
  
  

Requirements

Required Qualifications:  


Minimum of Bachelor's Degree
2+ years of behavioral healthcare experience 
Previous Accreditation Experience, I.E. NCQA or URAC standards compliance
Intermediate computer skills (Microsoft Word, Excel, 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
1 + plus year of managed care experience

Preferred Qualifications: 

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 Experience with New York State OMH (Office of Mental Health ) or OASAS (Office of Alcohol & Substance Abuse) processes and regulations
Previous Experience with SDOH (State Dept. of Health) regulations
  
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: 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.   

Job Keywords: Quality Improvement; Quality Management; Behavioral Health; Clinical Quality, Project Management, Mental Health,HEDIS; URAC; NCQA, Albany, Latham, NY, New York, NYHARPROSÂ