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Senior Data and Reporting Analyst - Telecommute

Company: UnitedHealth Group
Location: Los Angeles
Posted on: September 25, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Senior Data and Reporting Analyst is responsible for creating and updating Optum Clinical -Performance Quality's supplemental data reports, tracking metrics such as total charts reviewed by -week, month, and year. They are responsible for the identification of data discrepancies, identifying and -solutioning for potential system and/or process issues. They perform data analysis, identifying for -potential areas of risk prior to audit. This role will also develop chart volume forecast models, through -understanding and working in multiple chart storage systems. They collaborate with the SDS Operations -team to recommend and develop improved data and reporting solutions. This role is responsible for -creating final supplemental data submissions and any ad-hoc reports required for continuous quality -assurance checks, ensuring all data submitted to the health plan meets the HEDIS -/Star technical -specifications and can be used for final HEDIS - reporting.

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

Primary Responsibilities:

  • Troubleshoot data integrity issues, analyze data for completeness, and propose and document -recommended solutions
  • Perform data analysis and comparison, validate memberships across different systems and tools, identifying any anomalies
  • Research anomalies and identify solutions and/or workarounds
  • Collaborate with team to identify opportunities for improved reporting
  • Design, develop, test, and document requested changes to new and existing reports
  • Pull ad-hoc reports/exports to validate data flows and system functionality
  • Develop expert-level understanding of systems and data flows, including chart storage of both -prospective and retrospective risk adjustment medical records
  • Utilize data to make recommendations related to risk mitigation, refined volume forecasting, and improved process flows
  • Collaborate with Director and team to create Section 5 Roadmap Documentation and final -submission rules
  • Create final submission of supplemental data, in accordance with health plan requirements
  • Troubleshoot and coordinate resolution to any/all system issues affecting team

    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 in Business, Healthcare Administration, Information Technology, or related field required (4+ years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
    • 4+ years of related experience in a reporting and analytic role
    • 1+ years of experience developing process flows and/or forecast models
    • 1+ years of experience in a managed care environment
    • Proficient in SQL, T-SQL, SSRS Reporting, and Tableau Reporting

      Preferred Qualifications:

      • Bachelor's Degree in Business or Information Technology
      • Certified Professional Coder
      • 7+ years of reporting/analytic experience -
      • Experience in Medicare Advantage Part D (MAPD) operations -
      • Development experience with APIs using Java, MS, or similar technology -
      • Familiarity with Business Objects, Cognos, Microsoft Reporting Services, or other Reporting Tools
      • Excellent analytical and problem-solving capabilities with special attention to accuracy and detail
      • Self-starter with a proven ability to take ownership of job responsibilities and ensure successful -
      • completion of all projects and requests
      • Solid verbal and written communication skills, with the ability to interface effectively with all levels of management, including executive and senior management teams
      • Ability to effectively prioritize and multi-task in high volume workload situations

        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

        Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

        Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

        *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

        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.

Keywords: UnitedHealth Group, Los Angeles , Senior Data and Reporting Analyst - Telecommute, Advertising , Los Angeles, California

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