Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Analyze data to identify barriers and opportunities
• Develop and implement intervention strategies and performance improvement projects to improve outcomes
• Prepare reports and presentations to support Quality Improvement Performance and initiatives to clinical and non-clinical audiences (this includes external stakeholders)
• Critical to the Quality Assurance (QA) process for data and content accuracy for the monthly, quarterly and annual submissions of customer required reports
• Work cooperatively across departments to facilitate change efforts
• Formulate identified issues into measurable targets/goals and actionable plans
• Positively foster teamwork within dedicated team and with external customer
• Conduct audits of compliance of procedures and documentation internally and with delegated entities
• Investigate member and provider complaints and ensuring the complaints are in compliance
• Support Behavioral Health NCQA accreditation, government programs contractual compliance and other regulatory requirements
• Oversee compliance and monitor performance of government care coordinator program
• Perform ad hoc assignments to support quality and compliance departments
  

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:

• Master's Degree in in Psychology, Social Work, or other related degree
• 3+ years of Behavioral health, Clinical, or Quality health care experience
• 2+ years of experience working with data projects and presenting data to internal and external stakeholders
• Experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes
• High level expertise in computer proficiency with MS Office and solid ability to navigate in multiple computer applications and systems
• Competent and experienced in Microsoft Excel utilizing pivot tables, run charts, and other graphical analysis tools
• Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home
  

Preferred Qualifications:

• Active, unrestricted independent Behavioral Health Clinical Licensure or Registered Nurse
• Behavioral Health Managed Care experience
• Experience and knowledge of NCQA guidelines and HEDIS measures
• Experience with process improvements
• Background in data analysis and reporting
• Reside in or near Eden Prairie, MN with the ability to attend onsite meetings based on business needs
  

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $67,800 to $133,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.