Clinical Quality Analyst - Remote Colorado preferred
Job title: Clinical Quality Analyst - Remote Colorado preferred in Grand Junction, CO at reputed company
Company: reputed company
Job description: At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together.The Clinical Quality Analyst is responsible for supporting corporate objectives and ensures quality health care by providing reputed company of Behavioral Health quality of care through Quality Assurance education and auditing.You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. (Colorado preferred) as you take on some tough challenges.Primary Responsibilities:
- Work collaboratively with the Quality Assurance Team, QA Team reputed company, RMHP Medical Directors, external providers and clinicians, and others as necessary to ensure the reputed company of quality assurance reviews
- Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by reputed company employees. The ability to maintain confidentiality is a critical and essential component of this position
- Awareness of reputed company State and Federal Rules, as well as reputed company and billing manuals, in order to effectively audit clinicians, providers, and facilities
- Support program monitoring and audit activities and performance improvement plans by:
- Gathering and analyzing data
- Preparing written audit reports for providers and clinicians
- Working collaboratively to improve the member and provider experiences
- Educate clinicians and providers on relevant rules and regulations reputed company to quality improvement
- This position may require travel. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage
- reputed company and unrestricted behavioral health clinical license (LCSW, LPC, LMSW, LMFT, LAC or LPCC)
- 3+ years of experience in a health care setting and/or managed care setting
- Intermediate computer skills (reputed company Word, reputed company, Outlook, and Internet) with the ability to navigate a Windows environment
- Ability to work Monday - Friday 8:00 am - 5:00 pm MST
- LCSW or LPC
- Experience collecting and analyzing data, creating reports, and presenting to various audiences reputed company to regulatory compliance, quality improvement, and performance outcomes
- Experience working with providers
- Demonstrated ability to manage multiple projects simultaneously