Job Description

Develop strategic and financial insights to create a strong foundation in driving affordability and clinical quality initiatives. Create and build key financial reporting models, reports, dashboards, and strong operational processes to improve decision making and cross-functional visibility with various stakeholders. On-going change maintenance of existing reporting assets and data insights accounting for market shifts, landscape drivers, and regulatory or CMS requirements and payment models. Analyze strategy efficacy, vendor risk and performance/scorecard, and cost saving and avoidance opportunities, and potential topline revenue impact. Identify process improvements for SOPs, SOWs, and affordability programs, including cost benefit analysis, business intake requests, executive summaries, strategy outline, leadership requests, & risk mitigation.

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

Primary Responsibilities:

* Perform financial forecasting, reporting, and operational metrics tracking
* Maintain a robust foundation repository of financial models and methodologies
* Analyze financial data and create financial models for decision support
* Analyze, review, forecast and trend complex data and present analysis and recommendations for operational and business review, planning, optimization
* Guide cost-benefit analysis process by establishing scalable and repeatable procedures
* Identify and drive process improvements, including the creation of standard and ad-hoc reports, tools, and dashboards/scorecards to measure and track program and vendor performance
* Analyze past results, perform variance analysis, identify trends, and make recommendations for improvements
* Evaluate financial performance by comparing and analyzing actual results with planned and forecast
* Increase productivity by developing automated reporting/forecasting tools
* Perform market research, data mining, and business intelligence
* Provide training on reporting, dashboard and package development to team members and management as needed
* Partner with key business stakeholders to understand downstream processes and trends of their operations/systems to drive innovation and process improvement / transformation to safeguard affordability
* Assist market leadership and other related department team members in the implementation of programs or projects, including planning, developing, implementing and evaluating programs and projects, coordinating project activities, collaborating with project team members, and monitoring progress toward achievement and other projects as assigned
* Identify issues and program performance gaps and recommend refinement of baseline assumptions, program adjustments, and/or possible resolution tactics
* Ensure accuracy of all deliverables including presentations, contracts, and spreadsheets, requiring interface with Finance or Compliance / Legal as necessary
* Partner with stakeholders to understand data requirements and develop tools and models such as segmentation, data visualizations, decision aids and business case analysis to support the organization
* Producing and managing the delivery of data and analytics to external stakeholders and clients
* Ensure prompt escalation of challenges/issues that will impact the business and initiative delivery

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:

* BS/BA degree in related field, including but not limited to Business, Finance/Accounting, Actuarial Science/Mathematics, Information Management/Data Science
* 5+ years of healthcare experience to include experience in a managed care setting, hospital setting and/or physician practice setting
* 3+ years of experience in business/finance analysis
* 3+ years of experience working knowledge of relational databases, database structures
* 3+ years of experience in creating and presenting customized reporting
* 3+ years of process improvement experience
* 3+ years of experience in InfoPath, Microsoft Power Apps, and Power Automate
* 3+ years of experience in Tableau report development
* Advanced level of proficiency working with relational databases, database structures
* Advanced MS excel skills including pivots, formulas, calculations, charts, graphs, macros, etc.
* Solid data mining, analytical and reporting skills required. Must be able to review and interpret data to make recommendations to senior-management
* Solid problem solver who can quickly reference continuous improvement tools
* Extensive knowledge of eligibility, claims (institutional, professional, labs, PBM/pharmacy), premiums, capitation, ETG, etc.
* Must have solid prioritization (multiple tasks, priorities, projects, and deadlines), attention to detail, effective multi-tasking, verbal/written communication and organizational skills.
* Demonstrated leadership & communication skills in developing content and presenting to various specialist stakeholders
* 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. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications:

* MBA or related advance degrees
* Advanced analytical and technical skills, including Tableau, Cognos, Business Objects, SQL, SAS etc.

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.

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. 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.

Job Keywords: CA, California, Los Alamitos, Managed Care, Business Analysis, Process improvement, claims, telecommute, Telecommuter, telecommuting, work from home, work at home, remote