Senior Product Analyst, Clinical Programs - Remote

Company: UnitedHealth Group
Location: San Jose
Posted on: November 16, 2023

Job Description:

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. -

The Senior Product Analyst for Clinical Programs is accountable for contributing to the oversight of OptumRx's Medicare Drug Management Program, as defined by the Centers for Medicare & Medicaid Services (CMS and U.S. Department of Health and Human Services (HHS) and the Opioid Risk Management Program. This position contributes to efforts to implement and execute on CMS reporting requirements for OptumRx clients who have enrolled in our Drug Management Program and/or Opioid Risk Management Program. The position will promote operational efficiencies, automation of manual processes and develop new opportunities to enhance program outputs as the analytics expert. The individual in this role will be knowledgeable in interpretation of federal guidance and ability to pull and interpret data to meet plan sponsor needs. To perform this job successfully, an individual must be able to navigate through various IT systems and applications to create and execute on new analytic offerings. The requirements listed below are representative of the knowledge, skill, and/or ability required. -

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

Primary Responsibilities: -

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• Monitor guidance from CMS, HHS, etc. and participate in work groups and meetings
  
• Build consensus around strategic direction of clinical reporting related to Drug Management Program, OMS and outcomes for Medicare beneficiaries and related programs
  
• Support Drug Management Program and Opioid Risk Management program clinical product manager to effectively communicate program and reporting changes with cross functional teams within the organization including clinical, operational and account teams
  
• Share outcomes results and provide training related to department analytic products
  
• Consult with internal partners to drive process development, management, and continuous improvement efforts in support of Medicare programs
  
• Provide support to implementation of clinical program and analytic offerings
  
• Identify and execute on process efficiencies, automation and improvement strategies
  
  
  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:
  
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  • 4+ years of recent experience related to data analysis or applied analytics, preferably in or related to consulting
    
  • 4+ years of recent experience in SAS, SQL, VB (Visual Basic) programming language and Microsoft office solutions
    
  • 2+ years of recent Medicare, managed care, PBM or health plan experience
    
  • Experience with analytical tools and BI tools like PowerBI, Alteryx
    
  • Experience developing client reporting and ensuring data accuracy and completeness for all deliverables
    
  • Understand and perform quantitative and qualitative analysis in support of business solutions and assist users with data assets
    
  • Proven excellent written and verbal communication skills with the ability to present to an audience of various levels within the organization
    
    
    Preferred Qualifications: -
    
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    • Bachelor's degree in computer science, data analytics or related field from an accredited college or university
      
    • Experience in Medicare clinical program support and quality measures
      
    • Experience fostering and maintaining relationships with product owners and account teams in support of program and client objectives
      
    • Working technical knowledge of drug data (MediSpan, FDB)
      
    • Working knowledge of database structures and claims data experience (RxClaim)
      
    • Proven analytical reasoning abilities, intellectual curiosity, solid business acumen, and creativity in problem solving
      
      
      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 , Senior Product Analyst, Clinical Programs - Remote, Professions , San Jose, California