Clinical Data Analyst HEDIS – Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is a clinical data analyst for the CEQ Team. This role assists with the coordination of HEDIS® and STARs data gathering process remotely, within DataRAP, Cozeva and additional applications as needed. This role performs weekly reporting on total members data mined, calls made, total charts retrieved, and efficacy, as well as quality and productivity reporting. Throughout the year, they perform QA checks and data analysis as needed, ensuring accurate reporting and identifying any potential trends. This role partners with the Sr. Clinical Analyst, Supervisor of Quality Operations, and Director of Quality Operations to accurately track and report on year-round data collection and abstraction.

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

Primary Responsibilities:

• Create, analyze, and report out on the CEQ Data Mining and Provider Contact Center work, quality and productivity reporting
• Create weekly assignments, based on open gaps and members available to data mine remotely 
• Analyze data for possible discrepancies and deficiencies and report findings
• Develop and document process improvement
• Work to refine HEDIS®/STAR data collection software and data collection strategies, as needed
• Support hybrid processes as needed, including reporting on total charts reviewed, and efficacy
• Participate in user acceptance testing, assist with team coordination of system changes, and system upgrades
• Complete training on HEDIS®/STAR measures
• Perform 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.

Required Qualifications:

• 2+ years of Business or Clinical Analytics experience
• 2+ years of healthcare experience to include experience in a managed care setting
• 2+ years of process improvement experience
• 1+ years of HEDIS® experience or participation with similar regulatory reporting
• Intermediate experience using Microsoft office applications, including databases, word-processing
• Intermediate experience using Visio® and Excel®
• Excellent presentation skills with solid communication capabilities and practices, both oral and written

Preferred Qualifications:

• Registered or Licensed Vocational Nurse
• Certified Professional Coder
• PMP
• Advanced experience using Microsoft office applications, including databases, word-processing
• Advanced experience using Excel®

Physical & Mental Requirements: 

• Ability to lift up to 25 pounds
• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.