Data Analyst Clinical Practice Consultant Manager - New Jersey

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Data Analyst Clinical Practice Consultant (CPC) Manager is an integral part of the UHC Community Plan of NJ. This full-time NJ designated position will report to the Quality Director and work in collaboration with other health plan teams and leaders. This position will be accountable to mitigate financial risk, prevent regulatory sanctions, optimize operational spend, and protect quality-driven revenue. The  Data Analyst CPC Manager will be responsible for issue identification, targeted remediation and data driven corrective action and will utilize the CPC team in interventions that solution for identified issues. The role requires continuous monitoring to ensure sustained improvements and prevent recurrence of the same findings across measurement years.  The data Analyst CPC manager will investigate the "why" behind performance gaps and formulates a corrective action plan that results in a permanent correction of the root cause.

If you are willing to work Eastern Time Zone business hours, you'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Sanction reduction and penalty avoidance through early issue identification, targeted remediation and data driven corrective actions
• Optomize use of CPC staff  in rate improvement strategies by targeting chart chases that distinguish between compliant and non-compliant records; this approach maximizes return on existing resources rather than increasing overall spend
• Ensure sustained improvement on NJ specific measures that result in reduced sanction exposure and supports stable quality performance in a penalty driven environment
• Develop solutions to permanently correct issues identified by root cause analysis
• Assist in the development of timely responses to Regulatory inquiries that incorporate data analysis
• Identify data integrity failures and distinguish from actual care deficiencies
• Provide ongoing support to proactively transition HEDIS measures to "E" measure status by 2029

Skills and Abilities:

• Self-directed, independent and record of problem solving, initiation and management of complex, visible and multifaceted topics
• Demonstrated ability managing across organizational silos when presented with complex and undefined work
• Ensure operational readiness through initiative oversight and continual monitoring for process improvement opportunities of population health strategies
• Possess solid listening skills, demonstrated by high level of responsiveness, and follow through
• Comfortable working through ambiguity toward clarity around data specifications and sources
• Demonstrated ability to analyze metrics, summarize key business learning, and translate into tactical plans and report to leadership
• Demonstrated ability to make recommendations and implement quality improvement interventions based on results of projects. Converts data into useable information and measures the impact of improvement initiative
• Demonstrated ability to communicate ideas clearly and concisely at all levels
• Demonstrated understanding of quality theory, data collection, analysis, and study design; ability to track and display data; ability to design, implement and evaluate interventions required

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:

• 5+ years of professional work experience, manipulation of structured date and building business intelligence tools and reports
• 5+ years of experience interfacing with leadership teams
• Experience in actively applying or overseeing the application of science-based quality improvement methods to improve quality scores
• Experience working with cross-functional teams and projects
• Intermediate to advanced level of Proficiency in MS Office (Outlook, Word, Excel, PowerPoint)
• Proven excellent time management, organizational, and prioritization skills and ability to balance multiple priorities and manage multiple projects/tasks in tandem
• Proven solid problem solving and analytical and skills
• Proven excellent communication skills - verbal, interpersonal, presentation, and facilitation along with written message development

Preferred Qualifications:

• Medicaid/Managed Medicaid experience  
• Experience working in a matrix environment
• Experience working with and influencing all levels of employees; inspiring others to engage, participate and act
• Proven record of effectively managing conflict, resolving issues, mitigating risks, inspiring, and influencing others

*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 $91,700 to $163,700 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.