UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
The Quality & Health Equity Data Analyst plays a key role in the UnitedHealthcare Individual & Family Plan (IFP) clinical organization. This position is responsible for analyzing and monitoring clinical quality data to meet CMS Quality Rating System (QRS) and state quality reporting requirements with the objective of maximizing star ratings and improving health outcomes among the IFP population. This individual works with internal partners to support QRS / HEDIS and state-based quality reporting requirements, tracking real-time prospective data to identify trends and opportunities for improvement. The position will support IFPs commitment to health equity by combining clinical quality and demographic dataincluding self-reported member data on race, ethnicity, and language – to identify health disparities and assist in quality improvement with a focus on reducing disparities and increasing equity. This individual will report to the IFP Director of Quality Operations & Oversight, who is responsible for providing national direction on IFPs quality and data strategy.
Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Continuously analyzes QRS / HEDIS quality data and other clinical data to identify emerging trends and quality improvement opportunities for IFP business
- Develops monthly prospective quality reports and disseminates to IFP clinical leadership
- Routinely monitors provider care gap closure
- Supports retrospective quality reporting for all IFP markets, including state-based Exchanges
- Oversees collection of member demographic data and stratification of HEDIS measures by race, ethnicity, and language, to support required health equity activities
- Partners with IFP teams, including Medical Economics, BASIS, and ABLE, to continuously integrate claims, pharmacy, operations, and other data sources with QRS / HEDIS quality data to obtain a more robust understanding of IFP clinical quality outcomes
- May perform additional national IFP quality duties as assigned
Youll 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:
- Bachelors degree
- 2+ years of data analytics experience
- 1+ years of experience with clinical quality and/or healthcare claims data sets
- Proficient with tools and software to extract, and analyze data
- Advanced or higher level of proficiency with Excel and PowerPoint
- 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
Preferred Qualifications:
- 1+ years of Tableau experience
- Experience handling and managing large volumes of data
- Experience working within UHC Government Programs or another managed care entity, ideally supporting activities related to HEDIS quality data analysis
- Comprehensive understanding of end-to-end HEDIS operations, including NCQA / HEDIS submission and performance measurement
- Excellent critical thinking, problem-solving, diagnostic, and analytical skills
- Ability to self-manage and drive disciplined, fact-based decisions, executing with urgency
- Ability to balance multiple accountabilities and organizational change
- Exceptional relationship and teaming skills, with proven ability to collaborate and quickly build and maintain relationships across diverse functions
- Success working with ambiguity and under tight deadlines
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 UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 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)
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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, youll find a far-reaching choice of benefits and incentives.
*All Telecommuters will be required to adhere to UnitedHealth Groups 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.
