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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Information Technology

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Senior Clinical Quality Analyst - Minnetonka, MN

UHG - Minnetonka, Minnesota

Posted: 11/19/2018

United Health Group is looking for clinicians (nurses, physicians, pharmacists) to conduct comprehensive testing, analyses and audits of the display of information on patients, and their clinical and claims data ingested from different sources. The ingested member data can be from UHG internal database sources as well as external data sources including clinic and hospital systems. The objective of this role is to validate that the member data are appropriately displayed in the UI, that information presented in the UI is clinically accurate, and that all data received is incorporated into the display,  before patients and providers have access to this information.
 
Primary Responsibilities:
  • Assess the representation of data, in the UI, from a clinical perspective
  • Identify potential misrepresentation of data/information, and triage these findings
  • Analyze and understand the data sources for the respective datasets - Rx Claims, Lab, Medical Claims, CDA, EMR, etc.
  • Analyze and understand the characteristics of the data and information, as it is displayed in the UI
  • Analyze and document test scenarios and test cases to validate the representation of data
  • Work with SME / experts / clinical professionals and quality testing teams to assure accuracy of the data being brought from various sources
  • Work independently and with other QA team members
  • Develop creative ideas for improving the testing process
  • Assist with training and mentoring of other clinical QA
  • Stay up-to-date on new features, improvements and versions
  • Provide quick turn-around on analysis of issues identified
  • Compare and contrast data between system builds / code updates
  • Exercise the highest degree of professionalism and confidentiality when analyzing protected health information
  • All other duties and responsibilities as assigned

Required Qualifications:

  • Bachelor’s degree in Information Systems, Laboratory Medicine, Healthcare Information Technology, Nursing, or other healthcare profession
  • In lieu of degree, equivalent combination of education and experience in Healthcare IT equal to five (5) years
  • Skilled user of Microsoft Excel (analysis of data) and Microsoft Word
  • Experience with project and/or product management lifecycles

Preferred Qualifications:

  • Experience with analyzing and data modeling of medical claims, membership data, lab results or pharmacy data
  • Experience in handling clinical terminologies used in patient clinical records, including lab and radiology, Pharmacy, immunization, surgeries, treatment plans, case notes, allergies, etc.
  • Understanding of clinical taxonomies (ICD10, CPT, LOINC, NDC, SNOMED, etc.)
  • Knowledge of current healthcare data transmission types (X12, HL7, CCDA) and various file types (txt, xml, csv)
  • Familiarity with EMR integration to import and export clinical data from other EMRs or health system data sources
 
 

Careers at UnitedHealth Group. We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these select few, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you're empowered to be your best. We encourage you to take risks. And we offer a world of rewards and benefits for performance. We believe the most important is the opportunity to do your life's best work.(sm)

 
 

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.   

    
  

Job Keywords:  Senior Clinical Quality Analyst, Minnetonka, MN, Minnesota

 
 

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