Senior Clinical Quality Auditor - Behavioral Health - Remote
for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections when there is real specific content. We need to parse the posting.
Let's extract content:
Intro: "Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. For you, quality counts. For UnitedHealthcare, part of the UnitedHealth Group 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 anywhere within the U.S. as you take on some tough challenges."
That's about the role. Could be "About the role". We'll put that in About the role
then
with that text. Next: "Primary Responsibilities" list: bullet points (though they are sentences). We'll create
Responsibilities
then- each bullet.
List items:
- Complete treatment record review audits and provide feedback results
- Implementing audit plan for Behavioral Health Providers at all covered levels 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 conduct on-site audits for providers in Tooele and Salt Lake County on an occasional basis
- Develop and present recommendations and alternatives to improve quality and/or outcomes 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
Also: "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 provide development for other roles you may be interested in."
That could be part of Responsibilities or maybe Skills. But we have separate Skills section. We'll treat that as part of Skills maybe. However the instruction: Use
- for any list of duties/requirements/benefits, and
for prose. So we can keep the prose in
. We'll separate. Now "Required Qualifications" list: - 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 identifying data targets and analyzing results related to quality improvement/performance outcomes - Knowledge of the behavioral health services in Salt Lake and/or Tooele Counties - Proficient in Microsoft Word, PowerPoint and Excel - Proven professional writing and verbal communication skills when 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 Also "Designated workspace and access to install secure high speed internet" is a requirement? It's under Required Qualifications? Actually appears after that list: "Designated workspace and access to install secure high speed internet". We'll include as a bullet. Now "Preferred Qualifications" list: - Experience with quality measures such as HEDIS - Experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes - Experience investigating quality of care concerns and critical incidents - Knowledge of Medicaid 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 achieve department goals - Proven ability to design, create and implement quality improvement projects and initiatives - All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy We could treat Preferred Qualifications as part of Qualifications or Skills. The instruction says we have sections: Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide mapping. We have Required Qualifications and Preferred Qualifications. Could combine into Qualifications section (both required and preferred). Or separate into Requirements (maybe required) and Qualifications (preferred). But we have both sections available: Requirements and Qualifications. We'll put required qualifications under Requirements, and preferred under Qualifications (or maybe Skills). However we also have Skills section for skills like communication, auditing, data analysis, etc. The posting includes "Solid auditing skills are essential. You'll also need the communication and persuasion skills..." That's skills. Also "Proven professional writing and verbal communication skills" etc are qualifications. Might be overlapping. Better to follow typical job posting: Requirements = required qualifications; Qualifications = preferred qualifications; Skills = maybe not needed if covered. But we have a Skills section; we could include skills like auditing, communication, data analysis, Microsoft Office proficiency, etc. However many of those appear in qualifications. We need to avoid thin sections. Let's see what we have substantive content for each: - About the role: yes. - Responsibilities: yes (list). - Requirements: yes (required qualifications list). - Qualifications: yes (preferred qualifications list). - Skills: we could extract skills like auditing, communication, data analysis, Microsoft Office, etc. But many are already in qualifications. Might be redundant but still substantive. However we could decide not to include Skills if it would be thin. The instruction: Prefer a few substantive sections over many thin ones. So maybe we skip Skills and incorporate skills into Responsibilities or Qualifications. But we have separate sections for Skills; we can omit if not enough distinct content. - Benefits: The posting mentions: "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)." Also earlier: "Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities." Also "comprehensive benefits" mentioned. So we have some benefits info: comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution. That's substantive enough for Benefits section. - Pay: The posting includes: "The salary for this role will range from $72,800 to $130,000 annually based on full-time employment." Also "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." So we have pay info. - Schedule: The posting mentions: "You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges." Also "All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy". That's about schedule/remote work. Could be considered Schedule. We'll include Schedule section with remote work flexibility. Now we need to ensure we don't include boilerplate like EEO, legal, etc. Remove those. We must not repeat job title as heading. Not include Job ID. We must output only HTML fragment. Let's craft. Structure:
About the role
... (intro paragraph(s) combined)
Responsibilities
- ... ...
Requirements
- ... ...
Qualifications
- ... ...
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
Pay
The salary for this role ranges from $72,800 to $130,000 annually for full‑time employment, based on factors such as local labor markets, education, work experience, and certifications.
Schedule
This position offers remote work flexibility from anywhere within the United States, with occasional on‑site audit travel to Tooele and Salt Lake County, Utah. All remote employees must adhere to UnitedHealth Group's Telecommuter Policy.
Check we didn't include any filler like "commensurate with experience". Good. Now ensure we preserved all substantive information. Let's verify we didn't miss any important details. From intro: we captured the description about Optum, UnitedHealthcare, role impact, remote work flexibility. Did we capture "You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges." That's in Schedule. We also captured "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." That's in About. We captured "Join us and help guide our efforts to improve the patient experience." That's in About. We captured "Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities." That's in About (maybe also Benefits but we captured benefits separately). Good. Now Responsibilities: we captured all bullet points under Primary Responsibilities. Also we omitted the sentence "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 provide development for other roles you may be interested in." That's not captured anywhere. Should we include? It's substantive about skills and rewards. Could be placed under Skills or maybe under Responsibilities as prose. Since we omitted Skills section, we could add aunder Responsibilities after the list to capture that prose. Or we could create a Skills section with that content. Let's think: The instruction says Prefer a few substantive sections over many thin ones. Adding a Skills section might be okay if it has substantive content. The prose includes: fostering teamwork, data analysis, auditing skills essential, communication and persuasion skills, rewarded and recognized, clear direction, development for other roles. That's substantive. Could be a Skills section. But we already have Responsibilities list; we could add a
after the list within the same section to capture that prose. That would keep sections fewer. Let's do that: Under Responsibilities, after the
- , add a
with that prose. Now Required Qualifications: we captured list. Also there is "Designated workspace and access to install secure high speed internet". We'll include as bullet. Preferred Qualifications: we captured list. Also "All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy". That's also in Schedule maybe but we can keep in Qualifications as bullet. However we already have that in Schedule. Might duplicate. Better to keep it only once. Since it's about remote work policy, it fits Schedule. We'll keep it in Schedule and not duplicate in Qualifications. Now
- for any list of duties/requirements/benefits, and