Top 174 Senior risk analyst Jobs in San Diego Ca

Senior Clinical Quality Analyst - Remote
Optum —San Diego, CA
- $72,800 - $130,000 a year
- Full-time
- Remote
- LMFT
- Microsoft Excel
- Microsoft Outlook
Senior Application Engineer (Oracle Fusion HCM Applications)
Navy Federal Credit Union —San Diego, CA
- $114,500 - $179,500 a year
- Online Application
- Computer science
- Computer Science
- PMP
- Referral program
7d
Sr Principal Procurement Analyst
Northrop Grumman —San Diego, CA
- $106,800 - $160,200 a year
- Overtime
- Hybrid work
- Oracle
- Office
- 8 years
- Paid holidays
- Disability insurance
Mid Counterintelligence Analyst
Cherokee Federal —San Diego, CA
- $95,000 - $105,000 a year
- Full-time
- Microsoft Excel
- Writing skills
- Research
- Health insurance
- Dental insurance
Software Engineer/Principal Software Engineer – Data Analyst
Northrop Grumman —San Diego, CA
- $91,800 - $171,000 a year
- Overtime
- System design
- Mid-level
- Java
- Paid holidays
- Disability insurance
Sr. Program Management Analyst
BlueWater Federal Solutions —San Diego, CA
- $127,000 - $137,000 a year
- Full-time
- Analysis skills
- SharePoint
- Senior level
- Employee stock purchase plan
- Health insurance
Senior Total Rewards Analyst
Travere Therapeutics —San Diego, CA
- $95,000 - $124,000 a year
- Online Application
- Microsoft Excel
- Research
- 3 years
- Health insurance
- Paid time off
Senior Operations Analyst
The Copper River Family of Companies —Chula Vista, CA
- $128,000 - $187,000 a year
- Full-time
- Research
- Analysis skills
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
6d
Senior Risk Analyst
Olivenhain Municipal Water District —Encinitas, CA
- $100,400.30 - $150,512.96 a year
- Full-time
- CPR Certification
- Word processing
- Research
- Paid holidays
- Disability insurance
OPERATIONS RESEARCH ANALYST
U.S. Pacific Fleet —Naval Air Station San Diego, CA
- $121,585 - $158,062 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
6d
Sr Principal Program Planning and Scheduling Analyst
Northrop Grumman —San Diego, CA
- $129,300 - $193,900 a year
- Overtime
- Computer science
- Microsoft Excel
- Computer Science
- Paid holidays
- Disability insurance
2d
Sr. Management Analyst
City of Lemon Grove —Lemon Grove, CA
- $80,346.24 - $130,890.40 a year
- Online Application
- Background check
- No experience needed
- Office
- Health insurance
- Dental insurance
Quick Apply
Senior Compliance Analyst and SIU Investigator
COMMUNITY HEALTH GROUP —Chula Vista, CA
- $79,056.81 - $90,915.33 a year
- Full-time
- Customer service
- Bachelor's degree
- Driving
Quick Apply
Senior Acquisition Management Analyst
BlueWater Federal Solutions —San Diego, CA
- $110,000 - $120,000 a year
- Full-time
- 7 years
- Engineering
- Contracts
- Employee stock purchase plan
- Health insurance
Jr Program Management Analyst
Kaihonua —San Diego, CA
- $70,950 - $76,875 a year
- Urgently hiring
- Microsoft Outlook
- Office
- Analysis skills
- Paid holidays
- Disability insurance
4d
Senior Cybersecurity Analyst - CONTINGENT - 26-022 - Hybrid
AUSGAR Technologies Inc —San Diego, CA
- $140,000 - $165,000 a year
- Email
- Hybrid work
- Background check
- 8 years
- Bachelor's degree
Specialist, Risk and Compliance Services (Center of Excellence)
Deloitte —San Diego, CA
- $63,000 - $116,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
8d
Senior Demand Planner
Luminize —San Diego, CA
- $105,000 - $125,000 a year
- Full-time
- Office
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
11d
Program Analyst (SOCOM)
Culmen International LLC —San Diego, CA
- Full-time
- Office
- In-person
- Senior level
- Paid holidays
- Health insurance
Program Managment Analyst I, II, III
Mayvin, Inc. —San Diego, CA
- $97,000 - $160,000 a year
- Full-time
- 3 years
- Analysis skills
- Bachelor's degree
Quick Apply

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Senior Clinical Quality Analyst - Remote

Optum -
San Diego, CA

Apply Now

Job Details

Full-time
$72,800 - $130,000 a year

Qualifications

Microsoft Excel
Microsoft Outlook
Word embeddings
Presentation creation
Editing
Behavioral health

Full Job Description

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.

Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Senior Quality Analyst, you will monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements. You will also review medical records and interface with clinicians to ensure that treatment being rendered is within the community standard of care and identify areas where care can be improved. You'll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives.

We're looking for a self-motivated licensed behavioral healthcare professional with Quality Improvement (QI), accreditation and / or data analysis experience. In this position, you would analyze essential data and develop and implement QI initiatives. The Quality Improvement team is focused on improving the health of our members, enhancing our operational effectiveness and reinforcing brand and reputation for high - quality health plans. Join us and help guide our efforts to improve the patient experience and satisfy our health plan customers. It takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment.

You'll enjoy the flexibility to work remotely * from California

Primary Responsibilities:

Support behavioral health quality improvement activities, performance improvement projects, and annual program deliverables for California health plan customers
Collect, analyze, and interpret clinical and operational data to identify trends, risks, and opportunities for improvement in quality performance and member experience
Prepare reports, summaries, dashboards, and presentation materials for internal leadership, committees, and external customers
Partner with health plan customers and internal stakeholders to monitor quality metrics, support corrective actions, and advance behavioral health quality initiatives
Support compliance with California and national quality requirements, including applicable state and federal regulations and accreditation standards such as DMHC, NCQA, HEDIS, and URAC
Conduct quality of care reviews and investigations related to enrollee grievances, identified quality concerns, and sentinel events, and document findings in accordance with established processes
Assist in preparing audit-ready documentation and evidence for quality management reviews, audits, and accreditation activities
Support quality management committees and workgroups through agenda development, meeting materials, follow-up tracking, and documentation of key actions
Review clinical documentation and collaborate with licensed clinicians and operations partners to promote compliance with documentation standards and community standards of care
Contribute to behavioral health HEDIS and related performance improvement efforts by helping design, implement, and monitor interventions in partnership with customers and cross-functional teams

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.

Required Qualifications:

Current, unrestricted California behavioral health license (e.g., LMFT, LCSW, LPCC, Psychologist, or other independently licensed behavioral health clinician, as applicable)
Current California residency
3+ years of professional experience in behavioral health, clinical quality, quality management, utilization management, case management, or a related healthcare function
1+ years of experience in a managed care, health plan, delegated entity, or behavioral health quality environment
Experience using Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint, with the ability to create, edit, and present reports and documents
Access to reliable high-speed internet and a home workspace suitable for remote work

Preferred Qualifications:

Experience collecting, analyzing, and presenting clinical or quality performance data
Experience supporting performance improvement projects or using data to inform intervention strategies and operational improvements
Experience preparing audit materials, annual evaluations, committee documentation, or accreditation evidence
Working knowledge of California behavioral health regulatory and accreditation requirements, including DMHC, NCQA, HEDIS, and URAC standards
Proven solid written and verbal communication skills, including experience presenting findings and recommendations to customers or leadership
Demonstrated ability to manage multiple priorities independently in a highly collaborative environment

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

Apply Now

Refine Your Search

senior risk analyst jobs in san diego ca

Senior Clinical Quality Analyst - Remote

Senior Application Engineer (Oracle Fusion HCM Applications)

Sr Principal Procurement Analyst

Mid Counterintelligence Analyst

Software Engineer/Principal Software Engineer – Data Analyst

Sr. Program Management Analyst

Senior Total Rewards Analyst

Senior Operations Analyst

Senior Risk Analyst

OPERATIONS RESEARCH ANALYST

Sr Principal Program Planning and Scheduling Analyst

Sr. Management Analyst

Senior Compliance Analyst and SIU Investigator

Senior Acquisition Management Analyst

Jr Program Management Analyst

Senior Cybersecurity Analyst - CONTINGENT - 26-022 - Hybrid

Specialist, Risk and Compliance Services (Center of Excellence)

Senior Demand Planner

Program Analyst (SOCOM)

Program Managment Analyst I, II, III

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