Sr. Risk and Quality Analyst - Remote

Company: UnitedHealth Group
Location: San Jose
Posted on: September 14, 2023

Job Description:

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. -

The primary goal of the Sr. Risk & Quality Analyst is to use data science and analytics to support the improved health of our patients and the value-based performance of our physicians. This individual will report to the Manager of Risk Adjustment Analytics and will work with business leads to design, validate, produce, and distribute highly visible patient outreach and risk adjustment reporting. The Sr. Analyst is responsible for supporting patient outreach programs through development of Outreach and Risk Adjustment analytics and tracking with the aim to stand-up and evaluate programs through key performance indicators. The Analyst will also work closely with IT and Decision Support teams to institutionalize best-in-class analytics and scale reporting. The position requires solid analytic and organizational skills, initiative, ability to work independently, and a willingness to help develop a robust patient outreach reporting infrastructure. This position will require collaboration with data owners and functions across the organization.

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

Primary Responsibilities: - -

• 
  
• Participating in the development of analytical tools and performance reports that will monitor organizational progress against key patient outreach metrics
  
• Providing required analyses in order to understand the performance of patient outreach programs
  
• Designing and constructing data tables, schemas, dashboards, and visualizations related to patient outreach program reporting and tracking
  
• Managing data from key third-party patient outreach vendors
  
• Developing, validating, and distributing member lists for internal patient outreach team and third-party vendors for various patient outreach initiatives
  
• Performing hands-on tasks, including data acquisition from disparate systems, data transformation and analysis, benchmarking, and communicating insights
  
• Performing data validation tests to ensure data completeness and accuracy
  
• Collaborating with IT, Decision Support, and external vendors to identify infrastructural improvement opportunities and develop new solutions that improve patient outreach performance
  
• Collaborating with Clinical Operations team, including providers, managers, staff and administration to analyze performance, design and implement work flow processes to achieve efficiency and effectiveness
  
• Performing ad-hoc analyses 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. - -
  Required Qualifications: - -
  
  • 
    
  • Bachelor's degree in quantitative disciplines (mathematics, statistics, economics, etc.), or related field
    
  • 2+ years of experience working in an analytics or consulting role in managed care, population health, or health insurance
    
  • Experience working with large databases, e.g. health insurance claims databases, data warehousing, and/or database administration
    
  • Applied experience with EMR data & clinical analytic processes
    
  • Applied experience with patient outreach programs and customer relations management (CRM) platforms like Salesforce a decided advantage
    
  • Demonstrated proficiency in SQL (SSMS, preferred) and Excel
    
  • Experience with SSRS/SSIS packages, Python, R, Azure, Alteryx, or Visualization (Tableau/Power BI)
    
  • Proven solid analytical and problem-solving skills
    
  • Experience with healthcare analytics, informatics, and population health concepts
    
  • Proven solid understanding of Medicare Advantage plans and value-based incentive programs
    
  • Experience leading other analysts in developing capabilities
    
  • Demonstrated solid communication skills, including an ability to communicate with staff at various levels, including both front line staff and senior management
    
    -
    Preferred Qualifications: - - -
    
    • 
      
    • Master's degree
      
      
      California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $67,800 to $133,100. 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, San Jose , Sr. Risk and Quality Analyst - Remote, Professions , San Jose, California