Quality Business Process Analyst – Remote

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

As a Quality Business Process Analyst – Incentives in the Quality Stars Performance Management team in Optum, reviews incentive business processes from end-to-end to identify and address operational, financial and technological risks. Identifies opportunities to improve process and manages improvement projects for incentive strategic initiatives. Investigates non-standard requests and problems, makes presentations to direct management and completes projects on time and within scope. This role will be working with data that contributes to clinical quality gap closures, and the improvement of Medicare Stars & HEDIS measures.  Responsibilities include reporting and analysis, data validations, consulting between internal and external teams, proactively identifying performance improvement opportunities, and being a subject matter expert on all things Quality Measures and Star Ratings through the use of data analytics, technology, reference material, following specifications, and providing operational support.

This position will Partner with stakeholders to understand data requirements and develop tools and models such as segmentation, dashboards, data visualizations, decision aids, and business case analysis to support Optum Health. The analyst will also serve as a liaison between business users and IT report developers to understand reporting needs, develop requirements, and ensure data architecture is implemented to support alignment with business requirements. 

The reporting and dashboard development capabilities include, but are not limited to analysis, design, development, testing, debugging, following best practices for standards & methods, documentation, maintenance, new development, operations and delivery. To do so means learning backend data and quality measure specifications.  Help build reporting and data visualizations to create data driven analytics that drive strategies and measure interventions to ensure our populations achieve 4+ Star goals.

The roles covered by the Quality Business Process Analyst include primary development and maintenance for supporting and maintaining Provider Incentive programs across all of OptumCare and  across all technology functions (currently Power BI, Tableau, and others) to ensure that we deliver data with high quality for our users, applications, and services and to understand customer needs.  

This position will assist in the design, development, implementation, testing, deploying, monitoring and maintaining the Provider Incentive data in a systematic method. 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Use technical skills to manipulate data using SQL, Snowflake, Power BI, Tableau, Excel, or other tools to provide actionable information to internal customers in support of their business goals by business & product line
• Help build reporting and data visualizations to create data driven analytics that drive strategies and measure interventions to ensure our populations to achieve 4+ Star goals
• Recommends and implements new or modified reporting methods and procedures to improve report content and completeness of information.  Assists in testing new reports and ongoing support of existing solutions, including defect identification and resolution
• Ensure completion of yearly projects in support of team specific roadmap items that support business goals
• Build best practice data quality monitoring to ensure all data/report products exceed customer expectations.  Incorporate quality into the planning/design phases; build quality assurance activities; utilize data audits; identify and fix root causes vs short term solutions
• Design and review data structures for data management purposes with team
• Support team members by leading projects, sharing ideas and reviewing work of others.  Work with internal business partners to interpret, develop, & document report specifications, provide data-driven direction & guidance for Stars and clinical quality improvement
• Anticipate end user data needs, be curious and proactively communicate ideas to stakeholders
• Utilize critical thinking and problem-solving skills. Pro-actively identifies patterns in issues and research root-cause to improve overall quality
• Create best practice and use best practice in deliverables
• Assist in processes to collect, cleanse and enrich data coming into our data platform
• Evaluate data and reports for accuracy and validity; ensure that reporting meets customer requirements / regulations
• Support analysis of complex data for trending and patterns; recognize significance of findings and identify improvement opportunities; participate in making program and process recommendations
• Keep a full load and manage multiple projects being able to report out on progress and present analyses and findings to various stakeholders

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:

• 4+ years of experience in Health Care Analytics
• 4+ years of experience with database tools: SQL, SAS and/or similar data manipulation tools
• 4+ years of experience with analytics/visualization tools: Power BI, Tableau, or others
• 3+ years of experience with process improvement, workflow, benchmarking and/or evaluation of business processes
• 1+ years of experience working in HEDIS, Pharmacy or Medicare Star Ratings
• Proficient with Microsoft software programs (Excel, Visio, PowerPoint, etc.)
• Proven ability to interpret Clinical Quality, HEDIS, and/or Pharmacy measure specifications
• Proven skilled in communication, both written and verbal
• Proven ability to work in a fast paced, complex organization managing multiple projects
• Proven solid interpersonal skills and ability to interact collaboratively with internal business partners across multiple departments
• Proven excellent analytical and problem-solving capabilities with special attention to accuracy and detail
• Proven self-starter with a proven ability to take ownership of job responsibilities and ensure successful completion of all projects and requests
• Proven ability to prioritize and multi-task in high volume workload situations

Preferred Qualifications:

• Experience using large, diverse healthcare data for analytic purposes
• Knowledge of and experience using Stars / HEDIS data
• Understands Star Rating, PQA, HEDIS and NCQA technical specifications to apply measure criteria
• Working with healthcare data to support end user data requirements
• Proven ability to mentor and support team members
• Proven excellent communication skills, both written and verbal
• Proven highly analytical, curious, and creative
• Comfortable working in a rapidly-changing environment

 

Physical & Mental Requirements:

• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

 

Telecommuting Requirements:

• Dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

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

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.