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Sr. Clinical Quality Analyst (Behavioral Health) – San Diego, CA

UnitedHealth Group

San Diego, CA
Job Code:
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Job Details

759346 Sr Clinical Quality Analyst Behavioral Health San Diego CA

Sr. Clinical Quality Analyst (Behavioral Health) – San Diego, CA (759346)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral 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)
Primary Responsibilities:
  • Reviewing provider policies, procedures, and documentation standards and identify areas of improvement, during initial and re-credentialing audits
  • Traveling to conduct on-site provider audits throughout San Diego County
  • Scoring audits and writing outcome reports
  • Responsible for providing feedback and recommendations on how to improve areas of deficiency related to provider deficiencies of policies, procedures, and documentation standards
  • Investigating quality of care concerns and preparing cases for clinical quality committees
  • Participate in quality improvement projects and work collaboratively with various departments to achieve desired outcomes
  • Oversee interventions / data analysis of assigned ongoing quality improvement activities
  • Provide clinical expertise and guidance in implementing quality initiatives
Required Qualifications:
  • Master’s degree with California independent licensure in the Mental Health field such as: LMFT, LPC, LCSW, PhD, etc.
  • A minimum of 5 years of experience working in behavioral health
  • Computer proficiency
  • Excellent oral and written communication skills
  • Excellent analytic skills including ability to clearly articulate issues and business needs
  • Ability to work collaboratively with individuals at all levels throughout the organization
  • Excellent problem solving and organizational skills
  • Reliable transportation and the ability to accommodate daily field-based travel to provider sites throughout San Diego County
Preferred Qualifications:
  • Quality improvement experience
  • Knowledge of public sector mental health policy, regulations and clinical and administrative operations
  • Background working as an auditor, including experience conducting chart, documentation and / or billing audits
  • Experience with MediCal
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.

Keywords: behavioral health, mental health, LPC, LMFT, LCSW, PhD, Medicare, Medi-Cal, psychiatric, quality, quality improvement, analyst, fraud, waste, abuse, data analysis, San Diego, CA, California

Job Details

  • Contest Number759346
  • Job TitleSr. Clinical Quality Analyst (Behavioral Health) – San Diego, CA
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • San Diego, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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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