RN Quality Assurance Professional

2 days ago


Eden Prairie, Minnesota, United States UnitedHealth Group Full time
Job Description:
We are seeking a Clinical Quality RN to join our team at UnitedHealth Group. As a key member of the team, you will support quality audit activities for our operational clinicians, health plan partners, or regulatory agencies such as CMS. You will ensure our operational teams meet all standards set forth by our health plan delegation agreements and regulatory agencies.

Required Qualifications:
  • Active, unrestricted RN license in state of residence
  • Knowledge of Curo and Care Advance medical management platforms
  • Experience with Prior Authorization, inpatient concurrent review, or medical claims review
  • Intermediate or higher proficiency with basic software applications including MS office, adobe, Smart Sheet

Benefits:
  • A comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

Salary:$58,300 to $114,300 annually, based on several factors including local labor markets, education, work experience, certifications, etc.

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