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Senior Clinical Quality Analyst

Optum
Published
February 9, 2024
Location
Telecommute
Category
Job Type
Work Setting
Remote / Home-based

Description

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 to start Caring. Connecting. Growing together. 

Position in this function provides clinical analyst and tracking for compliance, best practices, and reporting to ensure the highest clinical quality of care is provided. Oversight for the delivering of quality care with processes and documentation standards that are the best in the industry. Guide positive change and develop comprehensive care plans that will help others live healthier lives.

If you are located in San Diego, CA you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

  • Design and oversee clinical, quality improvement projects and initiatives.
  • Research, analyze, and evaluate clinical metrics.
  • Manage clinical quality projects and/or work objectives.
  • Review and update clinical training modules.
  • Implement ongoing quality assurance checks.
  • Train new staff in their respective role.
  • Conduct random, quality assurance audits and reviews.
  • Explore and implement clinical best practices.
  • Monitor and oversee clinical compliance.
  • Create and/or update reports related to quality improvement/performance outcomes.
  • Disperse clinical information for new clinical requirements, procedures, policies, etc.
  • Assist in developing department quality strategic action plans.
  • Help develop and/or improve policies, procedures, and processes.
  • Document and report clinical quality information.
  • Assists with initial and maintenance of accreditations and audits.
  • Ensure program complies with various agency requirements: California State requirements and/or National requirements.

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.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

  • Unrestricted and active license: PhD, PsyD, LMFT, LCSW, PCC or RN license.
  • 3+ years of health care experience.
  • 2+ years of experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes.
  • Demonstrated mastery of UHG intake procedures, computers, etc.
  • Proven ability to access and use electronic databases for quality review.
  • Proven ability to navigate Microsoft Access Databases and VBA.
  • Demonstrated excellent communication skills, ability to give feedback and provide leadership to a varied staff.
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