Quality Data Analyst HEDIS - Remote

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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.

UnitedHealthcare’s Quality Optimization and Insights (QOI) is an integrated team serving all UnitedHealthcare businesses, focused on delivering operational efficiencies for centralized activities. Our Operations and Engagement group is vital to our success and are leaders in driving the future growth of UnitedHealthcare. Success in this role relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone.

QOI combines talented individuals from many areas of quality. Our goal is extraordinary performance that exceeds the expectations of the constituents and members we serve. This role’s primary function is to perform and/or facilitate functions ensuring Retrospective and HEDIS quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications. Position will support accurate and timely issue resolution and data reporting and provide overall Retrospective support for Commercial, Medicare & Medicaid submissions This position reports to the Manager, Quality Reporting Operations.

The position is able to telecommute; however, work hours are Eastern time zones.

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

Primary Responsibilities

• Perform and/or facilitate functions ensuring Retrospecitve and HEDIS quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications
• Support accurate and timely issue resolution
• Collaborate with applicable internal stakeholders to obtain in-depth information / data about internal requirements for technology supporting Quality Optimization and Insights
• Gather and document requirements focused on process improvement, workflow, benchmarking and/or evaluation of business processes and/or configuration
• Develop and support tools to assist with analysis to evaluate material change in year over year performance
• Automate or enahance processes utilizing external vendor platforms that translate to improved efficiencies
• Anticipate potential barriers and proactively develops solutions to safeguard processes
• Monitor the data flow from vendors to confirm no gaps and issues with load process
• Serve as a team support resource on complex and / or critical issues
• Review work performed by others to ensure accuracy
• May support functional or segment teams or projects
• Provide explanations and information to others on complex issues
• Work with minimal guidance; seeks guidance on only the most complex tasks
• Support the developmentof ad-hoc reports
  
  

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 process improvement, quality, data analytic equivalent related experience
• Healthcare experience
• Demonstrated ability to manage and prioritize deliverables
• Demonstrated excellent communication, time/project management, problem solving, organizational, and analytical skills
  
  

Preferred Qualifications

• 3+years HEDIS or CMS Star Rating experience
• Systems Analyst or Business Analyst experience
• Intermediate proficiency in MS Excel, MS Access, MS SQL and VBA
  
  

Soft Skills

• Solid interpersonal skills
• Ability to work without a lot of direction
• Team player
• Solid communication skills
• Organized
• Ability to manage multiple projects at a time
  
  

Competencies

• Integrity Value: Act Ethically
• Comply with Applicable Laws, Regulations and Policies
• Demonstrate Integrity
• Compassion Value: Focus on Customers
• Identify and Exceed Customer Expectations
• Improve the Customer Experience
• Relationships Value: Act as a Team Player
• Collaborate with Others
• Demonstrate Diversity Awareness
• Learn and Develop
• Relationships Value: Communicate Effectively
• Influence Others
• Listen Actively
• Speak and Write Clearly
• Innovation Value: Support Change and Innovation
• Contribute Innovative Ideas
• Work Effectively in a Changing Environment
• Performance Value: Make Fact-Based Decisions
• Apply Business Knowledge
• Use Sound Judgement
• Performance Value: Deliver Quality Results
• Drive for Results
• Manage Time Effectively
• Produce High-Quality Work
• 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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.