Quality Data Analyst – Remote

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

 

Company Overview: 

The Optum East is a region in the Optum nationwide network, comprised of several multispecialty groups Across Optum New York, New Jersey, Connecticut and Massachusetts. We bring patients local care, backed by national expertise. As a premier provider of health care services, The Optum East offers services including primary care, urgent care, a diverse range of specialty care, outpatient surgery, and imaging. 

 

Together, for better health, Optum is committed to providing the highest standard of comprehensive medical care in a patient-centered and compassionate environment, with the comfort and convenience of being close to home.

• If helping people live their healthiest lives is attractive to you, Optum is the place to be!
• We value work-life balance and have flexible on-site and remote non-clinical opportunities available.
• We believe in employee development, professional growth and company longevity.
• Our culture is one of mutual respect, teamwork and equality.
• Competitive salary, great benefits, and other attractive incentives.

 

Position Overview: The primary goal of the Quality Data Analyst is to use data and analytics to enhance patient health and physician performance in value-based payment models. This role reports to the Director of Quality Analytics and Clinical Informatics to design, produce, validate, and distribute highly visible clinical quality & performance reports for various measure specifications. The Quality Data Analyst will work closely with cross functional teams to institutionalize best-in-class analytics, develop proprietary scalable dynamic reports, and improve population health programs.

 

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

 

Primary Responsibilities:

• Participating in the development of analytical tools and performance reports that will monitor organizational progress against clinical quality measures and health outcomes.
• Providing required analysis in order to understand clinical quality performance based on guidelines provided by CMS, HEDIS, and other measure stewards. 
• Designing and constructing data tables, schemas, dashboards, and visualizations related to clinical quality performance.
• Managing data from key payors including Medicaid, Medicare, and commercial insurers.
• Developing, validating, and distributing gaps in care lists for providers and clinical staff.
• Providing the reports and analysis required to effectively support the annual quality submission via the CMS web interface. 
• Performing hands-on tasks, including data acquisition from disparate systems, data transformation and analysis, benchmarking, and communicating insights.
• Performing data validation tests to ensure data completeness and accuracy.
• Collaborating with Clinical Operations team, including providers, managers, staff and administration to analyze performance, design and implement workflow processes that improve patient care and quality outcomes.
• Supporting Business Leads in evaluation of quality incentive programs and negotiations of new value-based payment models.

 

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:

• 3+ years of analytical work experience within the healthcare industry (i.e. consulting, hospitals, managed care organization, etc.)
• Experience working with large databases, e.g. health insurance claims databases, data warehousing, and/or database administration 
• Experience with healthcare analytics, informatics, and population health concepts
• Familiarity with claims / encounter data, as well as Medicare / commercial reimbursement methodologies 
• Proficiency in SQL required (SSMS, preferred)
• Proven solid analytical and problem-solving skills
• Proven solid communication skills, including an ability to communicate with staff at various levels, including both front line staff and senior management

 

Preferred Qualifications:

• Demonstrable experience with quality analytics and working knowledge of MA HEDIS, CAHPS/HOS measures
• Applied experience with EMR data & clinical analytic processes
• Solid understanding of Medicare Advantage plans and value-based incentive programs

 

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

 

The salary range for this role is $59,500 to $116,600 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.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.