Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)
The Risk Adjustment Analyst supports the Sr. Vice President of Risk Adjustment by providing professional assistance, project management, and recommendations on business needs. The position is responsible for providing analysis skills, monitoring organizational performance to plan, identifying factors to determine and recommend areas of business development and enhancement, and developing clear action plans to drive processes.
If you are located in San Antonio, TX, you will have the flexibility to telecommute* as well as work in the office as you take on some tough challenges.
Examines and performs statistical and data management analyses, develops, and presents a variety of performance results in addition to other pertinent communication. Transfers data into meaningful, professional, and easy to understand formats for leadership. Reviews data, develops recommendations and reviews findings with senior management
Analyzes and extracts data from the Enterprise Data Warehouse (EDW) and other sources to report to internal and external customers
Designs, develops, tests, documents, and maintains database queries for ad hoc reporting used in complex conceptual analyses for all departments within Risk Adjustment Operations and for external departments such as Finance (HCE) or other Care Delivery Organizations (CDOs) within the Optum family
Develops systematic reporting processes and procedures to ensure timely delivery of daily, weekly, monthly, annual, and ad hoc reports to support key departmental and corporate initiatives
Recommends and implements new or modified reporting methods and procedures to improve business processes, report content and completeness of information
Serves as the liaison between departments, markets and IT for all Risk Adjustment reporting needs. Troubleshoots all errors and data inconsistencies and coordinates resolutions to issues as directed by self, staff, regional market leadership, and corporate management
Acts as a single point of contact for assigned Risk Adjustment programs and projects, as warranted
Plans, develops, implements and evaluates programs and projects, coordinates business goals and objectives, collaborates with project team members, develops measurable project goals and objectives and monitors progress to completion. Facilitates communication between team members and identifies and coordinates assignment of internal and external resources to meet project requirements
Plans and assists with testing processes and activities including new report or analytics methodology validation
Conducts project meetings to include meeting regularly with project team to review deliverables and deadlines. Responsible for developing and updating various types of project documentation such as communication plans, project schedules, issue logs, etc.
Documenting and updating changes to workflow, training plans, policies and procedures, as directed
Performs complex business analysis using appropriate project tools and identifies best practice approaches to ensure overall project success
Performs all other related duties as assigned
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.
Bachelor's degree in Economics, Finance, Statistics, Mathematics, Actuarial Sciences, or other quantitative discipline required. 4+ years of related experience beyond the minimum required may be substituted in lieu of a degree.
4+ years related experience in operations reporting and analytic capacity
Experience in maintaining motivation to accomplish goals under stringent timelines
Proficient in SQL, MS Excel, Tableau and/or equivalent data capture/reporting tools
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
2+ years of healthcare or quality/risk adjustment experience
Experience in creating dashboards and reporting visualizations
Coding experience to include Python and/or R
Experience utilizing databases and data management
Ability to work with minimal guidance
Ability to interact one on one and consult with all levels of executive management
Proven ability to successfully conceptualize an initiative, develop a plan and execute the plan through implementation
Excellent analytical and problem-solving capabilities with special attention to accuracy and detail
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.