Job Description

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

Senior Data Analyst are critical to ensuring that our claim - based data reporting meets accuracy and timeliness requirements. You will be key to validating and evaluating the content of these submissions to improve processes, determine performance against benchmarks and to develop strategies and technology solutions for meeting more stringent data requirements. It will require you to be resourceful, adaptable, team oriented and with a flair for improvisation using technology solutions.

This position is accountable to the Regulatory Adherence Manager for performance reporting business operations related to Federal and State Medicare reporting. This role is tasked with gathering, validating and analyzing data prior to submission to Federal and State entities and entails developing tools to extract, analyze and comprehensively report information to internal business units, Federal and State agencies. The extracted data will be compared to quality and timeliness metrics and comprehensive tracking generated to support Key Performance Indicators, Scorecards and Dashboards.

The role requires a thorough understanding of quality assurance methodology and ability to test to rigid requirements. Validation and analysis tools to be developed include Microsoft SQL, Server, IBM DB2, CICS, Oracle, PostgreSQL, MS Access and flat files; other tools needed will track production status and performance metrics.

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

Training will be conducted virtually from your home.

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

Primary Responsibilities:

* Analyze submission guides to generate mapping into data sources
* Partner with teams to ensure processes and infrastructure support data collection
* Remediate gaps in existing production processes that do not deliver required source data or other content
* Ensure data integrity, data security and process optimization
* Coordinate data collection from suppliers and resolve data issues
* Create test plans, use cases and defect tracking tools to lead testing of claim related data extracts
* Develop, implement and automate data management tools to extract, filter, validate and analyze data using T-SQL, Excel, and Tableau (or equivalents)
* Verify data accuracy and ascertain regulatory compliance
* Drive automation and implement continuous improvements to create efficiencies in tools and processes
* Collaborate with business and technical teams to create conceptual designs for quality assurance validation tools and processes
* Expand upon existing and develop new quality assurance tools and methodologies
* Identify trends to determine causes and impacts to state and CMS requirements
* Produce metrics to assess performance against timeliness and quality benchmarks
* Prioritize own work to meet strict state and federal submission deadlines
* Work afterhours due to compressed timelines
* Meet non - negotiable regulatory deadlines

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:

* High School Diploma / GED (or higher)
* 3+ years of experience performing data analysis / reporting using T-SQL / PSQL / SQL or equivalent RDBMS tools
* 3+ experience with process improvement, business requirements development, workflow, benchmarking and evaluation of business processes
* 1+ years in a Quality Assurance role creating use cases, test plans and defect resolution
* 1+ years in a role implementing and utilizing Quality methodologies
* 1+ Experience creating and reviewing requirements and project related documentation
* Experience producing data visualization charts using Microsoft Excel, Tableau, QlikView, R, Matplotlib or equivalents applications
* Proficient with office - based software programs: Microsoft Access and Microsoft Excel to produce filtered, qualified data to validate against requirements
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Ability to keep all company sensitive documents secure (if applicable)
* Must live in a location that can receive a UnitedHealth Group approved high - speed internet connection or leverage an existing high - speed internet service
* 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 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:

* Bachelor's Degree (or higher) in Business, Finance, Health Administration, Computer / Data Science, a related field or equivalent work experience
* 2+ years of experience creating data visualizations (Dashboards, Scorecards) with data housed in flat files and relational databases
* Certified Health Data Analyst (CHDA) or equivalent
* Microsoft Certified Solutions Developer (MCSD) certification
* Experience reporting regulatory information for a healthcare or similar business

Soft Skills:

* Strong communication and project management skills with confidence in leading group discussions

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 10 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near - obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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.

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