Senior Clinical Quality Data Analyst - Draper, UT - Remote
Today• Draper, UT
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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
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 behavioral health providers within our Optum Medicaid Provider Network in Utah.
Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a senior clinical quality data analyst, you will monitor and support behavioral health quality improvement initiatives with particular emphasis on compliance with Medicaid regulations, state mandates and customer contract requirements. You will act as a voice for our members, guiding the development of data-driven quality projects and monitoring processes.
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We're looking for a self-motivated healthcare professional with quality improvement (QI) and/or data analysis experience. In this position, you would analyze essential data to develop and implement QI initiatives. Join the quality team focused on improving the health of our members, enhancing our operational effectiveness and ensuring Salt Lake and Tooele County Medicaid recipients receive quality behavior services on their path of recovery. It takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment in all departments.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Develop and support quality improvement activities and performance improvement plans by:
- Gathering and analyzing data
- Preparing written reports for internal teams and customers
- Presenting analyses and working collaboratively across teams
- Explain the characteristics of the data/information (e.g. clinical, administrative) including any unique attributes
- Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending and presenting information for quality management planning and management needs.
- Review results, conduct analyses (e.g. evaluate against goals/effectiveness of interventions over time), and prepare reports on findings
- Act as liaison between the Quality and Reporting Teams by:
- Requested reports which target identified needs
- Identify appropriate data platforms or applications (e.g. data bases, intranet source, internet source) and utilize these to collect data or information
- Assuming responsibility for data integrity among various internal groups and/or between internal and external sources
- Provide explanations or updates when data/information are not accurate or are unclear
- Collaborate with Quality Team to perform barrier analyses and to develop measurable interventions
- Evaluate current processes, compare to relevant standards or specifications and identify gaps in compliance or performance
- Develop an understanding of our customers' requirements and expectations to anticipate needs and identify possible actions
- Mine data and/or information to identify inconsistencies, trends, other information needed, etc. (e.g. develop and/or run data queries)
- Participating in designing, creating, implementing and managing quality improvement projects and initiatives in support of behavioral health measures (i.e. HEDIS follow-up after hospitalization, network adequacy monitoring, performance improvement plan targets)
- Follow regulations and internal or external protocols for communicating information or data
- Project management of Quality related initiatives
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:
- 2+ years of experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes
- 2+ years of experience collecting, analyzing and presenting data
- 2+ years of experience in managed care, including Medicaid
- Experience managing projects, including multiple projects simultaneously
- Knowledge and experience with national quality improvement standards
- Proven intermediate to advanced excel skills
- Proven presentation skills (present reports to leaders/colleagues, solo and as a team)
- Demonstrated ability to organize groups and work independently
- Access to high-speed Internet services along with space for home office setup
Preferred Qualifications:
- Clinical behavioral health license (LCSW, LPC, LMFT, CMHC, etc.), or RN with psychiatric treatment experience
- CQA (Certified Quality Auditor)
- Six Sigma, IHI or other Quality Certification
- Experience creating reports related to quality improvement/performance outcomes
- Experience working within an Optum or UHG behavioral health team
- Familiarity with Tableau and NetSmart products
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Client-provided location(s): Draper, UT
Job ID: UHG-2313145
Employment Type: FULL_TIME
Posted: 2025-12-09T20:35:41
Perks and Benefits
Health and Wellness
- HSA
- On-Site Gym
- HSA With Employer Contribution
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
Parental Benefits
- Non-Birth Parent or Paternity Leave
- Birth Parent or Maternity Leave
Work Flexibility
- Remote Work Opportunities
Office Life and Perks
- Commuter Benefits Program
Vacation and Time Off
- Leave of Absence
- Personal/Sick Days
- Paid Holidays
- Paid Vacation
Financial and Retirement
- Relocation Assistance
- Performance Bonus
- Stock Purchase Program
- 401(K) With Company Matching
- 401(K)
Professional Development
- Promote From Within
- Shadowing Opportunities
- Access to Online Courses
- Tuition Reimbursement
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
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