Business Analysis Consultant – Remote

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Business Analyst Consultant (BAC) is a key member of the UnitedHealthcare Clinical Services Population Health Value Based Care (PHVBC) Analytics team, focused on the support of the Medicaid Health Homes and ACO programs. This is a position that is highly matrixed within the division, lines of business, and VBC clinical support team. The person must be a self-starter and possess outstanding analytical skills.   

This role is responsible for end-to-end development and ongoing support of reports and visualizations that capture member and provider data related to eligibility and enrollment of Health Homes, admissions, discharges, and transfers (ADTs) to and from facilities, health and pharmacy utilization, cost, and quality. Drawing from multiple UHC data platforms, the BAC ensures accurate, timely clinical reporting across a range of initiatives.

Primary responsibilities include documenting business requirements and producing state-mandated reports focused on affordability, quality measures, provider profiling, and clinical transformation. The analyst will take the lead for creating, generating, and troubleshooting data and reporting for multiple state markets. A strong understanding of enterprise data platforms and a commitment to data quality are essential.

The position supports performance improvement efforts across Medicaid Health Homes and ACO programs by providing data-driven insights and recommendations

Highly matrixed across business lines and clinical teams, this role requires a self-starter with excellent analytical skills. The Business Analyst Consultant will also:

• Develop SQL-based reports, Excel models, Tableau and/or Power BI dashboards to support both short- and long-term business goals
• Conduct root cause and gap analyses to inform action plans for clinical transformation initiatives
• Identify opportunities for process improvement. Work with technical teams to define, build, and test process automation where possible
• This position reports to the Associate Director of Population Health Analytics in PHVBC

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

Primary Responsibilities:

• Work closely with senior leaders across multiple levels of management to provide information that impacts the full scope of clinical performance reporting
• Manage multiple projects with varying scope level simultaneously
• Make solid recommendations based on analysis and provide explanations for reporting results for both internal operations and our business partners
• Define the approach and collaborate with technical stakeholders, such as database developers, and business/market stake holders to define and gather business, functional and non-functional requirements
• Validate reporting requirements with stakeholders and project teams, providing suggestions and recommendations as appropriate
• Analyze, review, forecast, and trend complex data pertaining to performance metrics which are sourced from various enterprise systems including Snowflake and SQL Server databases
• Conduct gap analysis between current and future state and assist in the build and operationalization of future processes pertaining to analytic strategy
• Analyze data and trends, perform root cause analysis to determine and establish best practices and areas of improvement related to reporting and systems utilized for care coordination
• Develop and document end-to-end reporting and/or business process flows, data flows, system impacts, and procedural task and procedural change issues
• Identify and/or establish appropriate testing metrics/targets to validate that business requirements are being met (i.e., performance metrics, process deliverables, traceability, business value)
• Conduct and/or support testing activities (i.e., production, regression and user acceptance testing, production validation)
• Plan/execute user testing scenarios/scripts and prepare test data
   
   

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:

• Bachelor’s degree or equivalent work experience
• 4+ years of experience working in a business and/or systems analyst role
• 4+ years of experience utilizing SQL to write queries for ad-hoc reporting in SQL Server and/or Snowflake environments
• 4+ years of experience designing reports with large data sets 
• 2+ years of experience designing Tableau reports/PowerBI reports
• 1+ years demonstrated ability to communicate analysis, including trends and opportunities, to clients and business leadership both verbally and in writing
• 1+ years of writing business requirements
• Advanced or Expert level of proficiency with SQL, Microsoft Excel
• Working understanding of health care claims data

Preferred Qualifications: 

• 2+ years working in a managed care organization or working in a healthcare setting
• 1+ years of user acceptance or QA testing
• HEDIS® reporting experience
• Pharmacy reporting experience
• Experience with SMART
• Experience with UGAP
• Experience with UDW
• Experience working with ACOs
• Experience working with SAS 
• Experience working with Snowflake 
• Experience working with SSIS and/or python
• Experience in analysis/engineering or project management, including workflow, benchmarking and/or evaluation of business process (including experience writing requirements)
• Understanding of healthcare claim processing, coding, enrollment processing, electronic data (such as EDI) and interoperability standards around clinical data exchange and data analytics
• Solid interpersonal skills, including ability to effectively interact, collaborate with, and influence key stakeholders

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

The salary range for this role is $71,600 to $140,600 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.

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.