Clinical Program Analyst

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.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. EST or CST is preferred.

Primary Responsibilities

• Ensure we are meeting Mental Health Parity requirements
• Act as a Mental Health Parity (MHP) Subject Matter Expert (SME)
• monitor, changes to requirements to identify risks
• Provide MHP training, communication, and education
• Support the collection of data to analyze compliance
• Acts as a liaison between teams to coordinate analysis activities
• Ensure proper reporting and response to internal stakeholders
• Conduct MHP regulatory research with ability to understand and operationalize state and federal laws, as well as obtain Legal, Compliance, & Regulatory Affairs (LCRA) input as needed
• Participate in the development of business strategy to meet MHP requirements
• Facilitate research and respond to internal business partners’ escalated issues, inquiries and questions related to MHP including, but not limited to:
• Provider reimbursement issues
• Network adequacy issues
• Payment Integrity
• Clinical and operational processes
  
  

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

• Health insurance environment experience/managed care environment
• Understanding of the following:
• Clinical operations
• Business operations (claims, network, knowledge of credentialing, provider reimbursement)
• Navigating across departments in the enterprise
• Intermediate or better proficiency using SharePoint, MS Word, MS Excel and MS PowerPoint
• Experience creating reports and with technical writing
  

Preferred Qualifications

• Licensed registered nurse
• 5+ years of experience working in a government, healthcare, managed care or health insurance environment
• Clinical experience
• Experience with regulatory filings and working with regulators
• Experience and knowledge working with state level regulators and regulatory agencies
• Quality management, project management, care management or utilization management experience
• Knowledge of Mental Health Parity (MHPAEA) state & federal regulatory requirements
• Demonstrated objective, collaborative approach; relationship builder who strives to build partnerships
• Demonstrated ability to communicate effectively across multiple departments and with all levels of leadership
• Demonstrated ability to stay organized and practice effective time management skills
• Demonstrated ability to work effectively and congenially with employees at all levels
• Proven ability to manage multiple projects/programs
• Proven ability to multitask through competing projects/programs
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.