Triage Analyst

Quality Management Team Member

This position follows a hybrid schedule with some in-office days quarterly and some days remote. Our office is located at 1 East Washington Street, Phoenix, AZ 85004.

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.

For those who want to be a part of the future of health care, here's your opportunity. As part of our quality management team, you'll help assist the Clinical Quality Analyst with multiple aspects of quality of care (QOC) investigation which includes management of the regulatory Incident/Accident/Death (IAD) portal, opening and managing cases in the internal QOC data base, triaging cases and initiating medical record retrieval based upon clinical judgement. All the while, you'll be building your career with a leader and reaching for the highest levels of performance as you do your life's best work.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of (8:00am - 5:00pm MST). It may be necessary, given the business need, to work occasional overtime. The position requires a minimum onsite presence of once every six weeks for meetings and office related work. Onsite requirements are subject to change based on business needs.

Primary Responsibilities:

• Manage and triage QOC referrals from internal and external sources
• Create and maintain confidential electronic investigation files for QOC cases
• Create and manage entries into the regulatory IAD portal
• Initiate medical record requests for QOC investigations based upon clinical nursing judgement
• Collaborate internally with Clinical Quality Analysts and staff in other UHCCP departments
• Manage multiple tasks and projects and changing priorities; prioritize work products effectively

This is a challenging role with serious impact. It's a fast-paced environment that takes focus, intensity and resilience.

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:

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 1+ years of experience in healthcare quality, clinical operations, case management, regulatory compliance, or a related healthcare field
• Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Proficiency with Microsoft Word (ability to open, edit, save and send documents), Microsoft Excel (ability to work with multiple databases to retrieve and enter information)
• The position requires a minimum onsite presence of once every six weeks for meetings and office related work. Onsite requirements are subject to change based on business needs
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of (8:00am - 5:00pm MST)

Preferred Qualifications:

• Active, unrestricted LPN license
• 2+ years of experience working as a Licensed Practical Nurse
• Experience working in a deadline driven environment prioritizing responsibilities
• Knowledge of Medicare/Medicaid regulations

Telecommuting Requirements:

• Reside within commutable distance to the office at 1 East Washington Street, Phoenix, AZ 85004
• 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

Soft Skills:

• Effective communication skills
• Attention to detail and accuracy
• Collaborative and team oriented mindset
• Time management and prioritization
• Organization and workflow management

*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 $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.