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Clinical Analyst - Richmond, Virginia

UnitedHealth Group

Richmond, VA
Job Code:
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Job Details

Clinical Analyst - Richmond, Virginia(Job Number:730923)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


The Managed Long Term Services and Supports (MLTSS) Clinical Analyst works closely with UHC leadership and other departments to ensure the integrity of clinical data and to execute the development and implementation of program operational reporting and performance measures.  Define and analyze business and data requirements needed to accurately measure program effectiveness in the marketplace. As a Clinical Analyst you will be responsible for providing dashboards, reports (Production and Adhoc), consultation and analysis.  Responsible for the development and implementation of data collection methodology to meet or exceed minimum performance standards established by the regulator, reporting and analysis of clinical performance measures and performance improvement projects.


This is an office position at 9020 Stony Point Parkway, Suite 400, Richmond, Virginia. Potential for a telecommuter position in the future.


Primary Responsibilities:

  • Analyzes processes and makes recommendations for improvement
  • Monitors plan reporting to ensure compliance with contractual requirements and performance targets
  • Interfaces with third party subcontractors and internal quality teams to measure performance, document improvements and opportunities and develop remediation plans with plan leadership
  • Business requirement development and documentation
  • Health plan clinical department support, including care coordination and LTSS program operations
  • Provides support for health plan projects and programs, including implementations, new programs and innovative solutions to address customer needs
  • May lead small and mid-scale projects and initiatives for health plan
  • Provides operational and analytical support for larger scale projects and programs
  • Maintains sources of truth for health plan operations, vendor and other reporting
  • Supports Joint Operating Committees and Business Partner Reviews
  • Coordinates health plan’s value added benefit fulfillment
  • Develops processes and structures to ensure health plan fulfills on customer requests and requirements
  • Supports both internal and external audits, including regulatory audits
  • Identify and troubleshoot data anomalies and irregularities in process / procedure
  • Develop and establish strong and effective working relationships with Clinical Program leadership and other departments
  • Responsible for collecting and documenting business requirements for reporting and analysis initiatives

Job Clinical Analysis & Consulting
Primary Location US-VA-Richmond
Other Location 
Organization C&S Virginia
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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