Senior Clinical Quality Auditor - Remote

For those who want to invent the future of health care, here's your opportunity. We're going reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. For you, quality counts. For reputed company, part of the reputed company 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 reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: • Complete treatment record review audits and reputed company feedback results • Implementing audit plan for Behavioral Health Providers at reputed company covered reputed company 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 reputed company • reputed company and present recommendations and alternatives to improve quality and/or reputed company 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 In addition to fostering teamwork and collaboration, much of your work will involve data analysis. Solid auditing skills are essential. You’ll also need the communication and persuasion skills to deal with clinical and non-clinical audiences. 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 reputed company development for other roles you may be interested in. Required Qualifications: • 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 reputed company reputed company strategies to improve reputed company • Proficient in reputed company Word, PowerPoint and reputed company • Proven professional writing and verbal communication skills reputed company 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 reputed company and reputed company to install secure high speed internet reputed company cable/DSL in home ' Preferred Qualifications: • Experience with quality measures such as HEDIS • Experience investigating quality of care concerns and critical incidents • Experience identifying data targets and analyzing results reputed company to quality improvement/performance reputed company • Knowledge of the behavioral health services in Salt Lake and Tooele Counties • Knowledge of reputed company rules and regulations especially 42CFR • Knowledge of ASAM Dimensions and use for assessment and treatment planning • Proven ability to initiate projects and can work on tasks independently • Proven ability to collaborate as a team player to reputed company department goals • Proven ability to design, create and implement quality improvement projects and initiatives • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, reputed company, New Jersey, Rhode reputed company, Washington or Washington, D.C. Residents Only: The salary reputed company for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action reputed company and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!