Job Description

As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare Advantage Risk Modeling. We are internal analytics partners who provide expertise to our finance, operations, accounting and clinical leads to identify coding gaps, assess opportunity, forecast, and analyze risk. If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you're not a risk adjustment expert, but hungry, driven and willing to learn, we will help you become one of the best in class experts in the field.

As a Sr. Consultant, you will support the key Tableau development efforts around Medicare Advantage Risk Adjustment, coding accuracy insights and clinical health outcomes.

The role also requires the knowledge and ability to access data, construct and manipulate large datasets to support planned analyses, use SQL, SAS or similar tools, as well as the Tableau expertise to visualize and present findings.

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

Primary Responsibilities:

* Develop, publish and maintain Financial, Operational and KPI Tableau dashboards to meet customers' requirements
* Identify and implement appropriate analytic approaches and methodologies
* Work closely with Data Operations team to ensure the data sources are accurate and analyzable
* Extract large amount of data using SQL
* Perform and document report validation
* Resolve any data or performance issues related to Tableau dashboards
* Create and maintain reference documents for the finalized dashboard
* Find key areas of automation to make the processes more efficient
* Turning visualization prototypes and subject area data models into well engineered, enterprise-grade visualization solutions
* Operationalize reporting and create a flexible architecture that can support tremendous growth and changing KPIs
* Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish
* Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment
* Leverage and coordinate enterprise-wide capabilities to meet business-specific needs

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:

* Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field
* 3+ years of experience supporting reporting technologies with 2+ years on Tableau BI development
* Strong critical thinking and analytical expertise: data visualization, data analysis, data manipulation, data extraction and reporting required
* Excellent written and verbal communication skills with the ability to communicate effectively with leaders across the organization and external customers
* Strong SQL skills
* Intermediate proficiency with SAS, and/or other statistical programs
* Great attention to details and accuracy
* 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:

* Proficiency with advanced forecasting techniques
* Knowledge of CMS regulations and specifications in regards to Medicare Advantage risk adjustment
* Experience working with healthcare data
* Experience in predictive modeling, data manipulation, reporting, and analysis
* Knowledge of healthcare administrative data (medical claims, enrollment, provider data)
* Demonstrated capability in driving business result through modeling and segmentation implementation, analysis and refinement
* Tableau certificate
* Experience synthesizing analysis into actionable and easy to digest insights
* Experience measuring impact and ROI of operational programs and services
* Demonstrated capability in driving business result through modeling and segmentation implementation, analysis and refinement

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

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.

*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: analytic, risk, modeling, Medicare, data, SQL, SAS, CMS