Triage Analyst

About the role

The 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.

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

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

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

Soft Skills

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

Pay and Benefits

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.

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.