Medicaid Reporting Manager – 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 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.

Optum State Government partners with state and local agencies to help modernize and manage Medicaid, health and human services, and public health programs through data-driven technology, analytics, and operational support-improving access to care, program efficiency, and outcomes for the populations they serve.

The Medicaid Reporting Manager is a leadership role responsible for managing state and federal Medicaid reporting projects, acting as a liaison between the business team on the state side and the technical team on the Optum side, and requiring strong business acumen, Medicaid program knowledge, and experience with data warehousing and reporting projects. The manager will drive the reporting solution requirements and provide Medicaid directions to the team and be and be the SME.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

*This role will not support sponsorship at this time*

Primary Responsibilities:

• Lead state and federal Medicaid reporting initiatives, serving as the primary liaison between state business stakeholders and Optum technical teams, leveraging strong Medicaid program knowledge, business acumen, and data warehousing/reporting expertise
• Direct the Illinois Enterprise Data Warehouse analytics and master data management programs, overseeing platforms and deliverables including OPA, AEP, Symmetry, Federal Reporting (PERM, T MSIS, MARS, QoC), Medicaid operational reporting, ad hoc analytics, and HHS interoperability
• Act as an analytics leader within the OGS Analytics practice, shaping reusable solutions and guiding product direction across analytics assets (OPA, AEP, Symmetry, Federal Reporting, PI)
• Provide strategic and tactical direction to M&O and DDI teams on business requirements, solution design, and quality assurance for reporting deliverables
• Lead and coordinate cross functional project teams (PMs, SMEs, analysts, developers, architects, testers, and administrators) to deliver contractual and project commitments while managing scope, timeline, risk, and dependencies
• Serve as a trusted advisor and thought leader to state customer leadership, CMS, sister agencies, and vendors; manage customer relationships and proactively identify needs and solutions
• Present insights, recommendations, and guidance to Optum and customer executive leadership on complex Medicaid data, reporting, and compliance topics
• Stay current on Medicaid industry trends, Illinois legislative requirements, and federal CMS mandates to inform strategy and guide customer teams
• Support growth of the analytics practice through innovation, knowledge sharing, and contribution to program and organizational objectives

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:

• 10+ years of IT experience including 5+ years of leadership experience in data warehouse/data analytics/reporting projects, especially with project scope, resources, solution, risk/issues, communication, and stakeholders’ management
• 5+ years of business experience working/leading Medicaid projects with healthcare analytics and reporting in a multi-vendor environment
• 5+ years of technology background with knowledge/experience in large DBMS, data, ETL, BI tools
• 3+ years of proven experience leading complex and demanding Design, Development and Implementation projects with Business Intelligence/Data Analytics for decision support systems
• Experience with Medicaid Program including Program management, Program Integrity, and Federal Reporting (such as PERM, T-MSIS, MARS, and Quality of Care core measures

Preferred Qualifications:

• PMI Project Management Professional certified or Certified Business Intelligence Professional (CBIP) certification
• 5+ years of experience with commercial or public healthcare insurance
• 3+ years of proven client-facing skills, excellent written, verbal communication skills, and presentation skills to executive teams
• Experience with infrastructure management
• Experience or knowledge of Tableau, PowerBI, Teradata/IntelliFlex, Informatica MDM, Verato, SAP Business Objects, JIRA, MS Project, or SAS
• State Medicaid Data Warehouse or Medicaid Management Information Systems experience
• Experience with Agile methodology, Scrum framework, and Agile/Scrum projects
• Experience with Cloud based technology such as MS Azure, Snowflake database, Python, Azure Data Factory, Data Bricks, et al
• Experience with managing complex application development projects with 10 or more resources, especially with Cloud based implementations
• Experience managing customer relationships and stakeholder management
• Reside local to Springfield, IL area or in driving distance to come to State office based on customer need (around 20% travel to Springfield, IL)

*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 $112,700 to $193,200 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.