- Complete treatment record review audits and provide feedback results
- Implementing audit plan for Behavioral Health Providers at all covered levels of care for treatment of mental health and substance use disorders
- Initiate and monitor provider corrective action plans (CAPs) as appropriate to improve performance
- Travel to Utah to conduct on site audits on an occasional basis
- Develop and present recommendations and alternatives to improve quality and/or outcomes for management and executive review
- Participate in developing and implementing effective analysis, research and evaluation of quality management metrics
- Collaborate in the design, creation and implementation of quality improvement projects and initiatives
- Manage and host audit of the customers to include scheduling, organizing records, completing and submitting reports
- Currently licensed as a mental health therapist in the state of residence
- 3 years of professional mental health experience
- Experience auditing behavioral health clinical records
- Experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes
- Proficient in Microsoft Word, PowerPoint and Excel
- Professional writing and verbal communication skills when interacting with customers and behavioral health providers
- Proven ability to collect, analyze and present data
- Proven ability to travel to Utah locations to conduct on site audits of providers
- Designated work space and access to install secure high speed internet via cable/DSL in home '
- Experience with quality measures such as HEDIS
- Experience investigating quality of care concerns and critical incidents
- Knowledge of the behavioral health services in Salt Lake and Tooele Counties
- Knowledge of Medicaid rules and regulations especially 42CFR
- Knowledge of ASAM Dimensions and use for assessment and treatment planning
- Experience identifying data targets and analyzing results related to quality improvement/performance outcomes
- Proven to initiate projects and can work on tasks independently
- Proven to collaborate as a team player to achieve department goals
- Proven to design, create and implement quality improvement projects and initiatives
-
Senior Clinical Quality Auditor
1 week ago
UnitedHealth Group Draper, United StatesOptum 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 ...
-
Quality Auditor
3 weeks ago
BIOMERIEUX, INC. Salt Lake City, United StatesQuality Auditor - Supplier Auditor · Location: Salt Lake City, UT, United States Position Type: Unfixed Term Job Function: Quality · Share: · A family-owned company, bioMerieux has grown to become a world leader in the field of in vitro diagnostics. For almost 60 years and across ...
-
Quality Auditor
3 weeks ago
Flextronics Salt Lake City, United StatesJob Posting Start Date Job Posting End Date Flex is the diversified manufacturing partner of choice that helps market-leading brands design, build and deliver innovative products that improve the world.We believe in the power of diversity and inclusion and cultivate a workplace c ...
-
Quality Auditor
3 weeks ago
FLEX Inc Salt Lake City, United StatesJob Posting Start Date Job Posting End Date · Flex is the diversified manufacturing partner of choice that helps market-leading brands design, build and deliver innovative products that improve the world. · We believe in the power of diversity and inclusion and cultivate a work ...
-
Quality Auditor
3 weeks ago
bioMérieux Salt Lake City, United StatesPerform all work in compliance with company policy and within the guidelines of BioMerieux's · Quality System. · 2. Establish supplier audit schedules and activities. · 3. Perform gap analysis of supplier QMS to new and existing regulations and standards. · 4. Present supplie ...
-
Quality Auditor
3 weeks ago
bioMerieux SA Career Site - MULTI-LINGUAL Salt Lake City, United StatesDescription · Perform all work in compliance with company policy and within the guidelines of BioMerieux's · Quality System. · 2. Establish supplier audit schedules and activities. · 3. Perform gap analysis of supplier QMS to new and existing regulations and standards. · 4. Pres ...
-
Audit and Compliance Specialist
1 week ago
Saddle Rock Legal Group Draper, United StatesJob Description · Job DescriptionAre you detail-oriented and passionate about ensuring legal and regulatory requirements are met? If so, we have an exciting opportunity for you to join our team as a full-time Audit and Compliance Specialist at Saddle Rock Legal Group in Draper, U ...
-
Senior Accountant
4 days ago
Numinus Draper, United StatesNuminus (TSX: NUMI) helps people to heal and be well through the development and delivery of innovative mental health care and access to safe, evidence-based psychedelic-assisted therapies. The Numinus model - including psychedelic research, training, and clinic care - is at the ...
-
Senior Accountant
2 weeks ago
Numinus Draper, United StatesNuminus (TSX: NUMI) helps people to heal and be well through the development and delivery of innovative mental health care and access to safe, evidence-based psychedelic-assisted therapies. The Numinus model - including psychedelic research, training, and clinic care - is at the ...
-
Dual Study Bachelor of Engineering
3 weeks ago
Aurora Ventures Emerald Mountain, United StatesJOIN THE EMERALD MOUNTAIN TEAM AND BECOME AN EXPERT IN BUSINESS ENGINEERING · Our dual study program in Business Engineering will equip you with the skills to plan, control, analyze, and optimize business processes. With a strong foundation in mathematics, natural sciences, techn ...
-
Sr. Internal Auditor
3 weeks ago
CardWorks Servicing, LLC South Jordan, United StatesSr. Internal Auditor (IT), Internal Audit · Friday, March 8, 2024 · CardWorks Servicing ("CWS") is one of the largest privately-held provider of outsourcing services for bankcard-related products to banks and non-bank lenders in North America. CWS offers management expertise acr ...
-
Senior Auditor Contract Compliance
1 week ago
Cotiviti South Jordan, United StatesCOTIVITI, INC. · Senior Auditor Contract Compliance (Retail) · SOUTH JORDAN , · Utah · Apply Now · Senior Auditor Contract Compliance (Retail)Job Locations · CategoryAudit - Retail · Position TypeFull-TimeOverview · The critical function of a Contract Compliance Senior Audit ...
-
Data Scientist I
2 weeks ago
Cotiviti South Jordan, United StatesData Scientist I Job Locations · US-Remote ID · Category Engineering/IT · Position Type Full-Time Overview · The Data Scientist I is focused on machine learning solutions in Healthcare Technology and builds value-oriented, production level machine learning solutions. This is not ...
-
Sr. Internal Auditor
1 week ago
CardWorks Servicing, LLC South Jordan, United StatesSr. Internal Auditor (IT), Internal Audit · Friday, March 8, 2024CardWorks Servicing ("CWS") is one of the largest privately-held provider of outsourcing services for bankcard-related products to banks and non-bank lenders in North America. CWS offers management expertise across ...
-
Senior Accountant
3 weeks ago
Stride Consulting LLC South Jordan, United StatesJob Summary: · We are seeking an experienced Senior Accountant to join our Finance team. The Senior Accountant will be responsible for managing our accounting operations on a day-to-day basis, which includes preparing financial statements, maintaining the general ledger, and man ...
-
Senior Accountant
3 weeks ago
Strider Technologies South Jordan, United StatesStrider is revolutionizing the way companies, universities, research institutions, and government agencies protect their innovation and compete in a new era of global strategic competition. Our trailblazing technology and intelligence solutions enable clients to proactively ident ...
-
Data Scientist I
4 weeks ago
Karkidi South Jordan, United StatesOverview · The Data Scientist II will apply knowledge and experience to real world problems, and seek to utilize their skills reduce the cost of healthcare and improve health quality and outcomes. With access to dedicated on premise and cloud based big data solutions, the team ca ...
-
R&D QA Auditor I
1 week ago
Merit Medical Systems South Jordan, United StatesR&D QA Auditor I - South Jordan, UT page is loaded · R&D QA Auditor I - South Jordan, UT · Apply · locations · South Jordan, UT · time type · Full time · posted on · Posted 2 Days Ago · job requisition id · JR105766 · Why Merit? · At Merit Medical, our mission is to c ...
-
R&D QA Auditor I
1 week ago
Merit Medical Systems South Jordan, United StatesR&D QA Auditor I - South Jordan, UT page is loaded · R&D QA Auditor I - South Jordan, UT · Apply · locations · South Jordan, UT · time type · Full time · posted on · Posted 2 Days Ago · job requisition id · JR105766 · Why Merit? · At Merit Medical, our mission is to cr ...
-
Manager, Audit
1 week ago
Ivanti South Jordan, United States Regular, Full time· Who We Are: · In today's work environment, employees use a myriad of devices to access IT applications and data over multiple networks to stay productive, wherever and however they work. Ivanti elevates and secures Everywhere Work so that people and organizations can thrive. ...
Senior Clinical Quality Auditor - Draper, United States - UnitedHealth Group
Description
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.Come make an impact on the communities we serve as you help us advance health equity on a global scale.
Join us to startCaring. Connecting. Growing together.
For you, quality counts.
For UnitedHealthcare, part of the UnitedHealth Group family of businesses, delivering quality care starts with processes and documentation standards that are the best in our industry.
As a Senior Clinical Quality Auditor, you'll be a force for positive change, guiding the development of comprehensive care plans that will help others live healthier lives.
Join us and help guide our efforts to improve the patient experience.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
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:
Preferred Qualifications:
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or
Washington Residents Only:
The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $70,200 to $137,800 annually. 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.
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 employers 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_