Associate Director of Medicare Optimization and Business Intelligence - Minnetonka, MN or Remote
Company: UnitedHealth Group
Location: Minnetonka
Posted on: January 16, 2023
Job Description:
At UnitedHealthcare, we're simplifying the health care
experience, creating healthier communities and removing barriers to
quality care. The work you do here impacts the lives of millions of
people for the better. Come build the health care system of
tomorrow, making it more responsive, affordable and equitable.
Ready to make a difference? Join us and start doing your life's
best work.(sm) For this role, you will be working as a leader
within the Medicare Optimization & Business Intelligence team. You
will be accountable for leading data strategy efforts within the
team, managing direct reports and working on key initiatives
related to Medicare and Retirement's success in Stars Quality
outcomes(HEDIS, Part D, CAHPS/HOS, and Operational Measures).
You'll enjoy the flexibility to work remotely * from anywhere
within the U.S. as you take on some tough challenges. Primary
Responsibilities:
- Function as a Manager within the Medicare Optimization &
Business Intelligence team that consists of overseeing the work of
employees executing data analysis related to plan performance,
member compliance outcomes, provider data activities(inclusive of
claims, supplemental data - Electronic Medical Records)
- Provide oversight and review of both Prospective and
Retrospective HEDIS engine outputs(Member Compliance) and
evaluation of Provider Chart Chase Management
- Solve complex process problems spanning multiple functional
areas and business units; managing through direct and indirect
reporting relationships
- Collaborate with cross functional teams that include Business
Analysts, Data Engineers, Data Scientist, Product Leads/Owners and
Business/Technical Stakeholders
- Communicate outcomes of Business Intelligence initiatives to
Market Owners, Regional Leads and National Leadership teams
- Be a leader for a data-driven, decision-making culture for
Medicare & Retirement's Stars program business.
- Serve as a technical advisor for various tools utilized by the
team which can include but not limited to: SQL Server, Teradata,
SAS, Snowflake, Tableau, Power BI, Shared Drive/Cloud Storage
- Work at highest technical advisory level on the most difficult
analysis and design assignments
- Execute as both an individual contributor within a project team
or lead a project team to achieve business-oriented outcome
goals
- Work with direct reports to monitor work output, conduct
employee training, assist with career growth/development, and
conduct performance evaluation reviews
- Adapt quickly to fast-paced changing work environment 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:
- 5+ years of experience working within Stars and/or Clinical
Quality domain
- 5+ years of experience analyzing medical data/records; sound
knowledge of HEDIS measures
- 5+ years of experience leading or coaching a team and
prioritizing deliverables
- 5+ years of experience working in business operational
improvement, program management or data quality / operations
positions
- 5+ years of experience leading business data transformation
programs / initiatives
- 5+ years of experience with SQL or SAS coding
- 5+ years of experience in project management Preferred
Qualifications:
- Experience in cloud computing(i.e. Snowflake)
- Experience working within Data Analytics
- Experience as a System Analyst/Solution Architect
- Experience managing data infrastructure tools and
databases
- Experience in Data Integration/ETL development within the
healthcare domain
- Experience in a leadership capacity within an Information
Technology group
- Knowledge and use of the ETL tools SQL Server Integration
Services (SSIS) and Teradata Utilities
- Knowledge and use of Teradata and Hadoop/Hive Careers at
UnitedHealthcare M&R Underwriting & HCE. The Boomer generation
is the fastest growing market segment in health care. And we are
the largest business in the nation dedicated to serving their
unique health and well-being needs. Up for the challenge of a
lifetime? Join a team of the best and the brightest to find bold
new ways to proactively improve the health and quality of life of
these 9 million customers. You'll find a wealth of dynamic
opportunities to grow and develop as we work together to heal and
strengthen our health care system. Ready? It's time to do your
life's best work.(sm) California, Colorado, Connecticut, Nevada,
New York City, or Washington Residents Only Residents Only: The
salary range for California, Colorado, Connecticut, Nevada, New
York City, or Washington residents is $101,200 to $184,000. 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 employees working remotely will be
required to adhere to UnitedHealth Group's Telecommuter Policy At
UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. 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, Minnetonka , Associate Director of Medicare Optimization and Business Intelligence - Minnetonka, MN or Remote, Executive , Minnetonka, Minnesota
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