Description

This position is Remote in AZ. You will have the flexibility to work remotely* as you take on some tough challenges.

At UnitedHealthcare, 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 better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. While this role offers remote flexibility, employees may be expected to report to the office for in-person meetings as needed.

Primary Responsibilities:

• Work within the AHCCCS Incident, Accident, and Death (IAD) Portals and internal UHCCP IAD platforms.
• Assist Behavioral Health (BH) Quality of Care (QOC) Clinical Analysis staff by gathering internal and external information and documentation, including obtaining medical records for submitted IADs, to support determinations regarding potential deviations in care.
• Effectively interface with external behavioral health provider offices and facilities by providing education and guidance on AHCCCS IAD portal requirements, ensuring compliance with timeliness standards outlined in the AMPM and contractual requirements.
• Manage administrative functions related to QOC investigations by supporting the Behavioral Health Clinical Quality Analyst team with document preparation, case setup, and triage activities.
• Collaborate with Quality Management (QM) RN Supervisors and the QM Associate Director on administrative duties related to physical health IADs.
• Collaborate internally with other QM departments and cross functional teams within UHCCP.
• Manage multiple tasks, projects, and shifting priorities while effectively organizing and prioritizing work products.

This is a challenging, high impact role within a fast paced environment that requires focus, attention to detail, resilience, and adaptability. Strong performance is recognized and rewarded. Employees are provided with clear expectations, ongoing guidance, and development opportunities to support both success in the role and potential growth into other areas of interest within the organization.

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:

• Bachelor's degree in Psychology, Sociology, OR Social Work
• Must be 18 years of age OR older
• 2+ years of Arizona behavioral health experience, including work with providers or health plans and AHCCCS (Medicaid)
• Experience working with the AHCCCS Incident, Accident, and Death (IAD) Portal
• Experience managing competing priorities in a fast paced, deadline driven environment
• Experience working with multiple databases to efficiently retrieve, input, and maintain accurate information
• Experience working with electronic health records (EHRs), Health Information Exchanges (HIEs), and internal systems
• Intermediate proficiency with Microsoft Office applications, including: Word (creating, editing and saving documents) and Excel (creating, editing, and saving documents and spreadsheets) Outlook (email and calendar management) Microsoft Teams (Chat and creating channels)
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. While this role offers remote flexibility, employees may be expected to report to the office for in-person meetings as needed

Preferred Qualifications:

• Master's degree in Psychology, Sociology, OR Social Work, with active licensure (LAC, LPC, LMSW, LCSW, LACT, LIAC) through the Arizona Board of Behavioral Health Examiners
• 2+ years of experience in behavioral health, quality management, clinical quality investigations, or equivalent relevant experience
• Knowledge of Behavioral Health Medicaid regulations
• Understanding of quality improvement principles and practices

Telecommuting Requirements:

• Reside within the state of Arizona.
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

*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 hourly pay for this role will range from $28.94 - $51.63 per hour 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.

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