Clinical Analyst

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

The Clinical Data Analyst will work within the Suspect Services Team focusing on clinical suspecting, Machine Learning, and clinical actions. This role assists with gathering, analyzing and preparing reports of various healthcare data within Atlas, DataRAP, eClinical Works (eCW) and additional applications in the WellMed data platform to drive and support business needs.

Primary Responsibilities

• Research, interpret, and analyze pertinent healthcare data to identify new business opportunities and drive business decisions. (E.g. LOINCs, ICD-10, CPT, etc.)
• Provide monthly metrics relating to variances and efficacy of clinical suspects and actions
• Liaison between clinicians, business and IT teams
• Support short and long term operational/strategic business activities through analysis
• Participate in user acceptance testing, assist with team coordination of system changes, and system upgrades
• Analyze data trends and create documentation to support all reports, conduct quality monitoring to ensure data accuracy and reliability
• Make recommendations based on data analysis and provide explanations for reporting results as needed
• Build and maintain solid relationships with business partners to effectively gather requirements and ensure business expectations are meet
• Identify challenges and opportunities, develop solutions and communicate to business leaders and internal stakeholders
• Maintain clear, well-organized documentation of data processes, analytical methodologies and dashboard logic to ensure transparency, reproducibility and team alignment
• Develop and document process improvements
• Perform all other related duties as assigned
  
  

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

• Registered or Licensed Vocational Nurse
• 2+ years of intermediate experience using Microsoft office applications, including databases, word-processing
• 2+ years of intermediate experience using Visio and Excel
• 1+ years of Clinical Analytics experience
• 1+ years of process improvement experience
• 1+ years of healthcare experience in one or more of the following areas: Claims Processing/Analysis, Medical Billing, Medical Coding, Nursing, Medical Assistant, Clinical Operations
• Proven excellent presentation skills with solid communication capabilities and practices, both oral and written
  
  

Preferred Qualifications

• Associate or bachelor’s degree
• Certified Professional Coder
• 1+ years of advanced experience using Microsoft office applications, including databases, word-processing
• 1+ years of advanced experience using Excel
  
  

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 $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.