Quality Clinical Analyst at UnitedHealth Group

Mid

Data Analysis

Performance Monitoring

Project coordination

+5 more

Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Quality Clinical Analyst supports quality improvement initiatives with a focus on maternal/child health and behavioral health, value-based programs (VBP), provider engagement, reporting, and quality assurance initiatives. This role analyzes clinical and operational data, maintains Key Performance Indicator (KPI) dashboards, prepares presentations, manages and supports “Alternate Payments Contracts/ Models- Learning and Action Network/Value Based Program” (APC-LAN/VBP) deliverables, and coordinates program communications to improve outcomes, provider performance, HEDIS® compliance, and Nevada market quality and state goals.

If you are located in Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges.

Key Responsibilities

Manage and support quality improvement, population health, value-based program, provider communication, quality assurance, state-required programs, and APC-LAN initiatives
Coordinate APC-LAN activities for assigned facilities, behavioral health providers, and OB-GYN practices, including benchmark reporting, provider performance tracking, and quarterly Joint Operating Committee (JOC) support
Support High-Risk Maternal Case Management, Value-Added Services, value-based program reporting, provider communications, and quality assurance requirements
Facilitate quality improvement program workstreams, including value-added benefit reporting, intervention tracking, workgroups, committees, and performance improvement initiatives

Report Analysis and Monitoring

Analyze clinical, operational, productivity, and maternal health reports to identify trends, gaps, opportunities, and workflow improvement needs
Monitor population health interventions, program goals, and Medicaid maternal and child health contractual requirements
Develop and maintain KPI dashboards to support leadership review, performance monitoring, and data-informed decision-making
Apply report findings to support compliance, regulatory standards, and quality improvement action planning

Presentation and Meeting Support

Develop and maintain presentation materials for maternal health, OB, provider, quality improvement, committee, leadership, state-contracted, and stakeholder meetings
Summarize data, trends, barriers, risks, interventions, and outcomes in a clear, concise, and professional format
Prepare presentation decks that support performance review, opportunity identification, and improvement strategy discussions

Communication and Resource Management

Monitor internal and external communications, including email and call lines, to ensure timely routing, follow-up, and documentation of inquiries
Support the development of program, presentation, and project materials for internal and external stakeholders, provider and member audiences, and state-contracted communications
Ensure all communication materials are high level, accurate, professional, timely, and aligned with program priorities

Systems and Tools

Create and maintain Word documents, PowerPoint presentations, Excel trackers, project timelines, action item logs, report summaries, dashboards, meeting materials, and audit-ready records
Use Excel formulas, filters, pivot tables, conditional formatting, data validation, and reporting logic to support analysis, tracking, dashboard updates, and process improvement
Use AI tools to assess work products and workflows for automation, augmentation, and enhancement opportunities

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

2+ years of Data analysis, reporting, and performance monitoring
2+ years of Project organization, documentation management, and process improvement support
2+ years of experience project coordination, organization, deadline management, communication, and collaboration skills
Advanced proficiency with Microsoft Excel, Power Query, formulas, filters, pivot tables, and data tracking tools
Advanced proficiency Adobe Acrobat and Microsoft Office applications to support documentation, reporting, and presentation development
Advanced Proficiency with Power Point - Ability to develop polished, professional presentations for leadership, committees, state, and stakeholder audiences

Preferred Qualifications:

Experience in healthcare quality, Medicaid, managed care, population health, maternal health, behavioral health, or provider engagement
Knowledge of case management systems, electronic medical record navigation, claims systems, HEDIS® chart review, and secure file transfer protocols within a healthcare environment
Experience using Power BI and Adobe Workfront/MOTE preferred
Strong attention to data accuracy, clear communication, and cross-functional collaboration

*All Telecommuters 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 $29.00 to $52.00 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 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.

#RPO #GREEN

Benefits

Equity

Skills

Data Analysis

Performance Monitoring

Project coordination

Documentation management

Process Improvement

Microsoft Excel

Power Query

PowerPoint

Ready to Apply?

Join UnitedHealth Group today

Salary Range

$0.029k - $0.052k

Posted 4 days ago

More Data roles you might like

Discover similar opportunities from companies that are also hiring remotely.

Chief Financial Analyst

Renmoney

Full Time

3 days ago

Who we are We’re a passionate team determined to challenge the status quo and make financial inclusion count for the millions of under-banked individuals and small business owners in Nigeria. We provide loans, savings, and fixed deposit solutions to our customers.

Worldwide

Data Science

Senior

Financial Modeling

Quantitative Analysis

Business Strategy

+5 more

Chief Financial Analyst

Renmoney

Full Time

3 days ago

Worldwide

Data Science

Senior

Financial Modeling

Quantitative Analysis

Business Strategy

+5 more

Nutrition Data Management and Analysis Consultant, Global Practice for Nutrition, 9.5 months, COE, Nairobi, Kenya (Remote) #595196

UNICEF

Contract

3 days ago

UNICEF works in over 190 countries and territories to save children’s lives, defend their rights, and help them fulfill their potential, from early childhood through adolescence. At UNICEF, we are committed, passionate, and proud of what we do for as long as we are needed.

Worldwide

Powerhouse Retail Services LLC

Data Science

Senior

Data Management

Database Development

epidemiology

+5 more

Explore more remote openings

Browse fresh listings from our global community of remote-friendly teams.

Project Manager - Commercial Construction

Full Time

3 days ago

Project Manager at Powerhouse Supercharge Your Career at Powerhouse! Powerhouse is looking for a motivated and detail-oriented Project Manager to join our growing team.

United States

Powerhouse Retail Services LLC

Senior

Project Management

Client Relationship Management

Construction Management

+5 more

Project Manager - Commercial Construction

Full Time

3 days ago

Project Manager at Powerhouse Supercharge Your Career at Powerhouse! Powerhouse is looking for a motivated and detail-oriented Project Manager to join our growing team.

United States

Cohen Law Group-Florida PA

Senior

Project Management

Client Relationship Management

Construction Management

+5 more

Insurance Litigation Attorney

Full Time

$150k - $250k

3 days ago

Help Us Build Our Arizona Practice What if your next opportunity wasn't just another job? Cohen Law Group is expanding its Arizona practice and looking for an Arizona-licensed attorney who is excited about the opportunity to help shape and grow our presence in the state.

United States

Legal

Mid

Litigation

Insurance Law

Case management

+5 more

Weekend Customer Service Representative (Part Time)

DIRAD TECHNOLOGIES INC

Part Time

3 days ago

This Part Time Customer Service Representative position will assist inbound callers with program inquiries and website utilization. Reliability and flexibility are both crucial for this role. Full training is provided!

United States

Entry

Customer Service

Verbal communication

Written Communication

+5 more

Technical Program Manager - Embedded Software

EnCharge AI

Full Time

$200k - $250k

3 days ago

EnCharge AI is building a new generation of AI compute systems designed to deliver dramatically higher energy efficiency for AI inference. Our technology combines innovative compute architectures with a full-stack software platform spanning silicon, firmware, drivers, compilers, runtimes, and AI…

United States

Staff

Technical Program Management

Embedded Software

Silicon Bring-up

+5 more

💥 Make an Impact Become a Life Insurance Producer

GIA Legacy Planning

Full Time

3 days ago

💥About Us: We are a forward-thinking life insurance agency that’s revolutionizing the way producers build their careers. Our mission is to provide outstanding protection for families while creating meaningful opportunities for individuals to grow their businesses within the life insurance industry.

United States

Entry

Sales

Insurance

Client Relationship Management

+5 more

Head of Growth

Richpanel

Full Time

$160k - $200k

3 days ago

Make Richpanel the company every CX leader knows before they need us. Richpanel is the AI-native helpdesk. We replace the old helpdesk and the next few support hires. We are profitable, backed by Sequoia Capital, and trusted by 3,000+ paying brands. Our team is small by design.

United States

Marketing

Growth Marketing

Senior

Product Marketing

Brand Marketing

Category Creation

+5 more

Creative Designer

Freebird

Full Time

3 days ago

Do you get the same charge from concepting a full campaign as you do from turning around a killer Amazon listing before the end of day? Can you jump from a paid social ad, to an email build, to a landing page, and make all of them feel unmistakably on-brand?

Canada

Design

Product Design

Senior

Visual Design

Figma

Campaign Concepting

+5 more

Senior Full-Stack Developer (Canada)

Proof

Full Time

CAD 135k - CAD 165k

3 days ago

About Proof We're Proof , a high growth company in the legal tech industry founded in 2017. We've built a best-in-class legal services platform used by thousands of law firms with a sustained average growth rate of over 10%.

Canada

Full Stack Engineering

Mid

React

TypeScript

+5 more

Senior Full-Stack Developer (Canada)

Proof

Full Time

CAD 135k - CAD 165k

3 days ago

Canada

Disability Management Institute

Full Stack Engineering

Mid

React

TypeScript

+5 more

Claims Coordinator (12-Month Contract)

Full Time

CAD 45k - CAD 55k

3 days ago

Claims Coordinator (12-Month Contract) Who We Are At Disability Management Institute (DMI), we deliver innovative, end-to-end disability and absence management solutions that transform how employers support their teams.

Canada