Quality Business Analyst

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

Quality Business Analyst is responsible for leading all analytics and data driven solutions by understanding and interpreting complex programs, initiatives, and data through the employment of advanced analytics techniques, business requirements gathering, project management techniques, business systems analysis, and reporting using a variety of reporting platforms, systems, sources, and data formats.

Primary Responsibilities:

Lead the efforts to gather business requirements for the design, development, and enhancement of analytics, reporting, and data driven solutions for select Quality programs
Development of standardized business processes to identify, document, and deliver on analytical and data driven solutions
Develop and maintain knowledge of key performance indicators related to Quality including but not limited to CMS Stars, HEDIS, etc., as well as working knowledge of specific healthcare coverage plans including but not limited to MSSP, DSNP, Medicare Advantage, etc.
Supervise the development and progress of all investigative analytics and ad hoc requests both within the Quality team and in collaboration with other business units and technical teams
Partner with Quality leadership and associated business units to provide business insights, information, projections, and recommendations
Develop methods to support the access, storage, and reporting of data sets that support project initiatives
Effectively visualize and communicate the risks, insights, patterns, and trends from complex and disparate reports and sources, and provide recommendations based on subject matter expertise
Develop and conduct quality control audits and test requirements to ensure accuracy of data and expected outcomes of programs and projects
Identify, correct, and/or assist in resolution of project and program risks
Collaborate directly with internal and external business units to identify opportunities to enhance program outcomes
Perform data scrubbing, troubleshooting, quality checking, and usability analysis to identify anomalies which need to be addressed prior to delivery of program and initiative results

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
3 years of experience in healthcare industry
One of these areas in healthcare industry; direct or indirect work with public health certificate/coursework, claims management systems, EMR platforms, healthcare regulations, Quality MA/HHS, project management, data visualization, or other clinical related background
Intermediate to Advanced skill level with Microsoft Excel

Preferred Qualifications:

1 years background in healthcare industry and managed care
Intermediate to Advanced skill level with Microsoft SQL programming language (preferred)
Intermediate to Advanced skill level with business intelligence platforms (PowerBI, SSRS, Crystal Reports, Tableau, MS Access etc.

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

California Residents Only: The hourly range for California residents is $27.07 to $53.08. 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.

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: 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.