Sr. Clinical Quality Analyst - Behavioral Health - Telecommute in Louisiana

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Optum Provider Performance is an integrated team serving all Optum businesses. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing brand and reputation for high-quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively to a highly collaborative team environment.

If you are located in the State of Louisiana, you will have the flexibility to telecommute* as you take on some tough challenges.

This position requires residency in the state of Louisiana and will require travel up to 75% of the month within the state, including overnights.

Primary Responsibilities

• Complete clinical audits and record reviews of behavioral health and substance use disorder providers in the State of Louisiana


• Provide education and support to providers regarding operational and treatment record documentation standards


• Conduct quality of care investigations of behavioral health and substance use disorder providers


• Provide analytical support and expertise when compiling report information


• Develop and implement effective analysis, research, and evaluation in preparation for clinical monitoring audits activities


• Assume responsibility for inter-rater reliability of clinical audit activities


• Extract appropriate data from SQL or Oracle environments


• Participate in departmental meetings and activities


• Travel 75% of work month, including overnight travel

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 or Ph.D. leading to an independent Behavioral Health licensure


• Active, unrestricted, independent Mental Health licensure (i.e., LP, LCSW, LMFT, or LPC)


• 3+ years of behavioral health experience


• Demonstrated intermediate computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment, including create, edit, save, and send documents using Microsoft Word


• Access to reliable transportation that will enable you to travel up to 75% of the month, including overnights to client and/or patient sites within the state of Louisiana


• Access to high-speed internet and a dedicated, distraction-free workspace at home


• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Experiencing conducting clinical audits of behavioral health/substance use disorder treatment records


• Experience with Medicaid service delivery


• Proven knowledge of Joint Commission survey processes


• Proven knowledge of HEDIS Standards


• Proven knowledge/experience with behavioral health Evidence-Based Practices


• Proven knowledge of inpatient and substance use disorder programs


• Ability to collect, analyze, and present data

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.