Clinical Quality Analyst - Las Vegas, NV - Full-time / Part-time

The Clinical Quality Analyst will manage quality improvement initiatives and projects that focus on improving the health care and services for health plan members and to manage compliance with NCQA accreditation and state and regulatory requirements.
 
Primary Responsibilities:


Working with the Director / Manager of Clinical Quality to create and implement multiple strategies, work plans, policies and procedures and documents to maintain compliance with state and federal regulatory requirements including the Centers for Medicare & Medicaid Services, state Medicaid and NCQA accreditation standards

This person will be the lead to ensure the work plan is in place to meet the requirements on a timely basis and the documentation is ready for the next NCQA survey and other regulatory requests

Required Qualifications:


1+ years of experience in a project driven environment
Bachelor's degree in Healthcare Administration, Social Sciences, Business or Analytical field
Strong writing and analysis skills
Excellent communication, writing, organization, analytical, project management, and critical thinking skills
Ability to research various venues to obtain pertinent data; design and present project findings; and prioritize and meet deadlines (must be able to balance multiple tasks / projects)
Excellent attention to detail and organizational skills are a must, in addition to the ability to manage work plans on a timely basis
Excellent computer skills to include Word, PowerPoint, Access, and Excel
Preferred Qualifications:

2+ years of experience in a healthcare / managed care environment
1+ year experience working in Quality Improvement department
Familiarity with NCQA regulations and HEDIS experience
Extensive knowledge of regulatory requirements, quality improvement processes and managed care
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)
 
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: project management, managed care, quality, HEDIS, NCQA, Las Vegas, NV, UnitedHealth Group