UnitedHealth Group

Data Analyst, Service Line Advancement - Specialist Network Development ( Telecommute)

Posted on: 10 Jan 2021

Eden Prairie, MN

Job Description

OptumCare is creating the leading medical group and high-value ambulatory care delivery network in the country that is physician-led, patient-centered and clinically focused. When you join our team, you'll be surrounded by a focused, performance driven team who is dedicated to building the highest value healthcare delivery system. Efficient specialty networks play an increasing role in our growth strategy across all markets as they will enable us to bring greater value to patients and providers through a high value healthcare delivery system. In this role, you'll help drive the development and evaluation of specialty networks that create a higher quality and lower cost healthcare delivery system.

The Service Line Advancement team partners closely with the OptumCare Specialty Practices (OSP) team to deliver specialist strategy and network development recommendations to OptumCare Care Delivery Organizations (CDOs).

The Analyst will assess and partner with OptumCare Care Delivery Organizations (CDOs) to develop high value specialty networks for their members/patients. This will be achieved through the assessment of a CDO's existing specialty network needs and performance (quality and cost efficiency) and evaluating market opportunities to optimize that network's performance. The specialty network strategy will be designed inclusive of opportunity/gap analysis, recommendations, approach, and key considerations.

This position will primarily be focused on developing analytic insights and supporting healthcare claims data models that fuel our team's specialty network recommendations and investments. Key analytic focus areas include but are not limited to:

* Specialty Network Adequacy Assessments
* Specialty Geographic Proximity Mapping and Access Assessments
* Provider Cost Efficiency and Quality Evaluations
* Care Delivery Organization Specialty Referral Optimizations
* Specialty Group Acquisition Synergy Assessments
* Surgical Facility Migration Assessments

This position will sit on the OptumCare Service Line Advancement Analytics team and will collaborate closely with teammates from the OptumCare Specialty Practices team, Surgical Care Affiliates (SCA) and CDO specialty network leadership. In addition, this role will engage with a variety of enterprise teams including OptumCare Healthcare Economics, OptimalCare, and where appropriate, across broader OptumHealth, Optum and UnitedHealthcare.

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

Primary Responsibilities:

* Strategy and Growth:
* Develop understanding of business-level goals / metrics focused on maximizing service line performance
* Develop data solutions that can directly support the business case and ongoing performance tracking for local and national execution
* Ensure that data solutions supporting service line strategies address applicable market expectations (e.g., patients, payers, providers, external business partners)
* Communication/Relationship Management
* Collaborate with market partners - build long-lasting transparent and trusting relationships
* Create strong partnerships across all levels of the organization to obtain needed information and support across teams
* Present complex information/insights in a simple and consumable format
* Operational Effectiveness:
* Collaborate with applicable stakeholders to obtain appropriate market information/data (e.g., healthcare economics, specialty practices, health plan partners, OptimalCare, etc.)
* Gather/analyze/validate applicable data from internal and external sources to identify market characteristics/needs/problems (e.g., market opportunities, financials, trends)
* Articulate clear and concise information on a market specific data solution supporting the business opportunity
* Partner with stakeholders (internal and external) to ensure accuracy of information/assumptions in data models
* Monitor pilots and tests including performance tracking to support overall project management of implementation
* Research/Data
* Analyze internal data, alongside external data sets (including detailed internal and external payer data sets) to identify preferred providers based on patterns of clinical care, site of service, and cost savings opportunities
* Use above analyses to create business pro formas to size opportunities - including calculating metrics for revenue, EBITDA, ROIC, and IOI
* Review and assess completed analysis; seeking clarity, questioning where appropriate, and working collaboratively to drive accurate results
* General
* Work directly with and across OptumCare business units to help determine needs and solve complex and strategic business challenges
* Ensure consistency and coordination in how initiatives are implemented
* Make recommendations to management/leadership based on business case and analysis

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 or equivalent work experience
* 2+ years of experience analyzing and manipulating large data sets
* Advanced level of proficiency in MS Excel
* Intermediate proficiency in SQL Management Studio and MS PowerPoint
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders.

Preferred Qualifications:

* 1+ years of health care industry experience
* Experience with Tableau, Power BI, or MicroStrategy
* Experience in general business or healthcare consulting
* Experience working with financial metrics
* Experience working with data related to specialists and/or ancillary services
* Experience presenting information to senior leadership
* Proven success adding structure and clarity to ambiguous situations / asks
* Interpersonal skills, including positive assertiveness, professional communication, relationship building and ability to influence without authority
* Excellent written and oral communication skills
* Strong problem solving capabilities

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)

*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.

Job Keywords: Tableau, Power BI, or MicroStrategy,Specialty Network Adequacy Assessments, managed care, healthcare, healthcare economics, Eden Prairie, MN, Minnesota, Chicago, IL, Illinois, Phoenix, AZ, Arizona, Dallas, TX, Texas, Irvine, CA, California, Denver, CO , Colorado, Telecommute, Telecommuter, Telecommuting, Work from home, Work at home, Remote

UnitedHealth Group

Hopkins, MN

UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, and individuals; health and well-being services to individuals age 50 and older, addressing their needs for preventive and acute health care services, as well as services dealing with chronic disease and other specialized issues for older individuals; and Medicaid plans, Children’s Health Insurance Program, and health care programs; and health and dental benefits.

The OptumHealth segment provides access to networks of care provider specialists, health management services, care delivery, consumer engagement, and financial services. This segment serves individuals through programs offered by employers, payers, government entities, and directly with the care delivery systems.

The OptumInsight segment offers software and information products, advisory consulting arrangements, and services outsourcing contracts to hospital systems, physicians, health plans, governments, life sciences companies, and other organizations. The OptumRx segment provides pharmacy care services and programs, including retail network contracting, home delivery, specialty and compounding pharmacy, and purchasing and clinical, as well as develops programs in areas, such as step therapy, formulary management, drug adherence, and disease/drug therapy management. UnitedHealth Group Incorporated was founded in 1974 and is based in Minnetonka, Minnesota.

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