Quality Clinical 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. The Quality Clinical Analyst supports quality improvement initiatives with a focus on maternal/child health and behavioral health, value-based programs (VBP), provider engagement, reporting, and quality assurance initiatives. This role analyzes clinical and operational data, maintains Key Performance Indicator (KPI) dashboards, prepares presentations, manages and supports 'Alternate Payments Contracts/ Models- Learning and Action Network/Value Based Program' (APC-LAN/VBP) deliverables, and coordinates program communications to improve outcomes, provider performance, HEDIS® compliance, and Nevada market quality and state goals. If you are located in Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges.

Manage and support quality improvement, population health, value-based program, provider communication, quality assurance, state-required programs, and APC-LAN initiatives Coordinate APC-LAN activities for assigned facilities, behavioral health providers, and OB-GYN practices, including benchmark reporting, provider performance tracking, and quarterly Joint Operating Committee (JOC) support Support High-Risk Maternal Case Management, Value-Added Services, value-based program reporting, provider communications, and quality assurance requirements Facilitate quality improvement program workstreams, including value-added benefit reporting, intervention tracking, workgroups, committees, and performance improvement initiatives Report Analysis and Monitoring Analyze clinical, operational, productivity, and maternal health reports to identify trends, gaps, opportunities, and workflow improvement needs Monitor population health interventions, program goals, and Medicaid maternal and child health contractual requirements Develop and maintain KPI dashboards to support leadership review, performance monitoring, and data-informed decision-making Apply report findings to support compliance, regulatory standards, and quality improvement action planning Presentation and Meeting Support Develop and maintain presentation materials for maternal health, OB, provider, quality improvement, committee, leadership, state-contracted, and stakeholder meetings Summarize data, trends, barriers, risks, interventions, and outcomes in a clear, concise, and professional format Prepare presentation decks that support performance review, opportunity identification, and improvement strategy discussions Communication and Resource Management Monitor internal and external communications, including email and call lines, to ensure timely routing, follow-up, and documentation of inquiries Support the development of program, presentation, and project materials for internal and external stakeholders, provider and member audiences, and state-contracted communications Ensure all communication materials are high level, accurate, professional, timely, and aligned with program priorities Systems and Tools Create and maintain Word documents, PowerPoint presentations, Excel trackers, project timelines, action item logs, report summaries, dashboards, meeting materials, and audit-ready records Use Excel formulas, filters, pivot tables, conditional formatting, data validation, and reporting logic to support analysis, tracking, dashboard updates, and process improvement Use AI tools to assess work products and workflows for automation, augmentation, and enhancement opportunities You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to