Senior HEDIS Analyst - United Healthcare - Telecommute
March 10, 2018
You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of healthcare. Does the challenge intrigue you?As a key member of the Analyst team, you will be part of UnitedHealth Group's mission of helping people live healthier lives. As a Senior Business Analyst, you will grow and develop as you conduct and manage outcomes of various studies. You will be challenged to analyze, review, and forecast data for operational and business planning. As part of this elite team, you will be empowered to impact the healthcare system through the analysis and interpretation of data, and presenting recommendations for business solutions. Join us! There's never been a better time to do your life's best work.(sm) You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Analyze, review, forecast, and trend complex data Present analysis and interpretation for operational and business review and planning Support short and long term operational / strategic business activities through analysis Develop recommended business solutions through research and analysis of data and business process and implement when appropriate Responsible for quality and quantity of data used in HEDIS reporting SME for the monthly HEDIS production cycle for assigned Health Plans SME utilizing the HEDIS software for the management of HEDIS and State data submissions Ensure HEDIS data accuracy by following department and auditor guidelines Utilize HEDIS software and other department tools to perform data analysis Generally work is self-directed and not prescribed Work with less structured, more complex issues Serve as a resource to others
Required Qualifications: Bachelor's Degree OR High School Diploma / GED with 2+ years of equivalent experience 2+ years of recent SQL experience creating medium to complex SQL queries 2+ years of recent experience performing research and data analysis (preferably health care regulatory reporting) 2+ years of experience trouble-shooting, conducting quality analysis on, and formatting data files Preferred Qualifications: Proficient with MS Office (Word, Excel, Outlook, Visio) Experience with ClaimSphere or MedMeasures Suite of Tools, or experience with HEDIS reporting using other tools Experience in a managed care environment Ability to write clearly composed documentation for business requirements documentation as well as information that will be distributed to auditors Functional SME for HEDIS reporting Project management experience Experience using MS Access Experience with SSIS packagesCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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 where ever 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) *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. Keywords: HEDIS, Analyst
Internal Number: 754113
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.