Chief Data Officer – Remote

Requisition Number: 2312069
Job Category: Business & Data Analytics
Primary Location: Boston, MA, US
(Remote considered)

Doctor consulting nurse at nurse station.

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 Chief Data Officer (CDO) for our health plan is a senior executive responsible for shaping and executing a comprehensive data strategy. This leader oversees a broad spectrum of data-related functions, including data management and quality assurance. The CDO is accountable for data analytics and business intelligence, drawing actionable insights from data to inform decision-making and drive organizational performance. Key responsibilities include establishing and maintaining robust data governance frameworks, master data management, and information strategy, as well as enabling advanced data science and business analytics capabilities. In addition, the CDO directs all aspects of regulatory reporting, ensuring that regularly scheduled and ad hoc reports are submitted timely and accurately.

 

The Chief Data Officer reports directly to the Chief Operating Officer (COO) and works in close collaboration with the health plan’s executive leadership, clinical operations, business intelligence analytics, and compliance teams. The CDO will have one direct report (a reporting analyst).

 

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.  

 

Primary Responsibilities:

  • Data Strategy: Develop and implement a data strategy that supports health plan operations, member engagement, population health management, risk adjustment, and value-based care models
  • Data Governance: Establish and oversee governance frameworks, policies, and controls to ensure the accuracy, privacy, security, and compliance of all data assets, with particular focus on member health information, claims, provider data, and clinical data
  • Contract Compliance: Primary responsibility for managing and ensuring compliance with all activities under contract Section 2.15 (Data Management, Information Systems Requirements, and Reporting Requirements) and Appendix A (Reporting Requirements)
  • Regulatory Reporting for Health Plans: Direct all aspects of regulatory reporting for health plans, including both required and ad hoc submissions to state agencies, Centers for Medicare and Medicaid Services (CMS), and other entities. Oversee the timely, accurate preparation of information such as encounter data, quality measures, medical loss ratios, risk adjustment, and pharmacy rebate data
  • State Partnership: Oversee and collaborate with state regulator to ensure state data exchange between state and plan is established and maintained
  • Facilitation of Contract Management Team (CMT) Meetings: Serve as the primary facilitator for CMT meetings with state Medicaid regulators and CMS, ensuring effective communication of contract requirements, data deliverables, and compliance issues
  • Collaboration: Partner with IT, actuarial, clinical, provider relations, legal, and risk teams to develop data-driven solutions to business and regulatory challenges
  • Leadership: Build and mentor a dedicated data management team, fostering a culture of accountability, integrity, and innovation in health care data practices

 

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 experience in health care data management, analytics, or health insurance operations, with at least 5+ years in a management role
  • Demonstrated expertise in health plan regulatory reporting, health data governance, and compliance with CMS and state Medicaid requirements
  • Extensive experience with SQL for data querying, database management, report generation, and supporting analytics and regulatory reporting
  • Proven excellent problem-solving, collaboration, communication, and stakeholder management skills
  • Demonstrated familiarity with clinical data and clinical workflows
  • Ability to work Eastern Time Zone business hours and coordinate with teams and regulators operating in this time frame
  • Ability to travel to Massachusetts for meetings as requested

 

Preferred Qualifications: 

  • Professional certifications such as Certified Health Data Analyst (CHDA), Certified Information Privacy Professional (CIPP/US), or equivalent
  • Proven knowledge of HIPAA, HITECH, claims processing, encounter data, clinical data, and pharmacy rebate requirements in a health care insurance context
  • Experience leading meetings and interactions with Medicaid and CMS regulators
  • Experience managing data for Medicaid, Medicare Advantage, or Dual Special Needs (DSNP) health plans
  • Demonstrated solid background in health insurance analytics, predictive modeling, and regulatory audits
  • Proficiency in health care data standards and interoperability frameworks
  • Proven advanced SQL skills for complex data extraction, transformation, and reporting across multiple databases and platforms

 

*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 $110,200 to $188,800 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.  

Additional Job Detail Information

Requisition Number 2312069

Business Segment UnitedHealthcare

Employee Status Regular

Job Level Director

Travel No

Country: US

Overtime Status Exempt

Schedule Full-time

Shift Day Job

Telecommuter Position Yes

Our Hiring Process

We want you to know what our hiring process looks like. Watch the video and find out what to expect along the way.

What It’s Like

Watch the video and hear how our employees describe what it’s like to work here in Customer Service.

Careers at Optum

If you want to use your abilities to help us challenge the status quo and achieve on our ambitious mission, this is the right place for you. We are creating and delivering quality health care solutions that deeply impact the health care system. And this means opportunities for people like you to grow and innovate with us.

Closing the GAP

Our team members help close the gap in health care. Take a closer look and see how Lisa helps members navigate a complex health care system.