Senior Clinical Nurse Analyst in San Antonio

UnitedHealth Group

  • San Antonio, TX
  • $71,200-127,200 per year
  • Permanent
  • Full-time
  • 1 month ago
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.The Sr Clinical Analyst will work within the Suspect Services Team focusing on clinical suspecting, Machine Learning, and clinical actions. This role will perform healthcare data analysis, interpretation and monitor data trends to present to the team, leaders and stakeholders in order to support and drive the business needs.Primary Responsibilities:
  • Perform or oversee the research, interpretation, and analysis of pertinent healthcare data to identify new business opportunities and drive business decisions. (E.g. LOINCs, ICD-10, CPT, etc.)
  • Report monthly metrics relating to variances and efficacy of clinical suspects and actions to business leaders
  • Liaison between clinicians, business and IT teams
  • Work closely with associated IT teams to gather, analyze and report clinical and Machine Learning data
  • Works with Lead Clinical Analyst to prepare and report analysis to leaders for short and long term operational/strategic business activities
  • Define user acceptance testing, assist with team coordination of system changes, and system upgrades
  • Analyze data trends and create documentation to support all reports, conduct quality monitoring to ensure data accuracy and reliability
  • Works with the Lead Clinical Analyst to determine recommendations based on data analysis and provide explanations for reporting results as needed
  • Build and maintain solid relationships with business partners to effectively gather requirements and ensure business expectations are met
  • Identify challenges and opportunities, develop solutions and communicate to business leaders and internal stakeholders
  • Oversee the documentation of data processes, analytical methodologies and dashboard logic to ensure transparency, reproducibility and team alignment
  • Develop and implement process improvements in team and application processes
  • Perform all other related duties as assigned
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.THIS POSITION is a HYBRID POSITION IN SAN ANTONIO ,TEXASRequired Qualifications:
  • Registered or Licensed Vocational Nurse
  • 2+ years of Clinical Analytics experience
  • 2+ years of process improvement experience
  • 2+ years of healthcare experience in one or more of the following areas: Claims Processing/Analysis, Medical Billing, Medical Coding, Nursing, Medical Assistant, Clinical Operations
  • 1+ years of advanced experience using Microsoft office applications, including databases, word-processing
  • 1+ years of advanced experience using Visio® and Excel®
  • Proven excellent presentation skills with solid communication capabilities and practices, both oral and written
Preferred Qualifications:
  • Associate or bachelor’s degree
  • Certified Professional Coder
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 salary for this role will range from $71,200 to $127,200 annually 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.

UnitedHealth Group