We use cookies. Find out more about it here. By continuing to browse this site you are agreeing to our use of cookies.

Job posting has expired

Back to search results

Associate Director of Medicare Optimization and Business Intelligence - Minnetonka, MN or Remote

UnitedHealth Group
United States, Minnesota, Minnetonka
January 28, 2023

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

For this role, you will be working as a leader within the Medicare Optimization & Business Intelligence team. You will be accountable for leading data strategy efforts within the team, managing direct reports and working on key initiatives related to Medicare and Retirement's success in Stars Quality outcomes(HEDIS, Part D, CAHPS/HOS, and Operational Measures).

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

Primary Responsibilities:

  • Function as a Manager within the Medicare Optimization & Business Intelligence team that consists of overseeing the work of employees executing data analysis related to plan performance, member compliance outcomes, provider data activities(inclusive of claims, supplemental data - Electronic Medical Records)
  • Provide oversight and review of both Prospective and Retrospective HEDIS engine outputs(Member Compliance) and evaluation of Provider Chart Chase Management
  • Solve complex process problems spanning multiple functional areas and business units; managing through direct and indirect reporting relationships
  • Collaborate with cross functional teams that include Business Analysts, Data Engineers, Data Scientist, Product Leads/Owners and Business/Technical Stakeholders
  • Communicate outcomes of Business Intelligence initiatives to Market Owners, Regional Leads and National Leadership teams
  • Be a leader for a data-driven, decision-making culture for Medicare & Retirement's Stars program business.
  • Serve as a technical advisor for various tools utilized by the team which can include but not limited to: SQL Server, Teradata, SAS, Snowflake, Tableau, Power BI, Shared Drive/Cloud Storage
  • Work at highest technical advisory level on the most difficult analysis and design assignments
  • Execute as both an individual contributor within a project team or lead a project team to achieve business-oriented outcome goals
  • Work with direct reports to monitor work output, conduct employee training, assist with career growth/development, and conduct performance evaluation reviews
  • Adapt quickly to fast-paced changing work environment

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:

  • 5+ years of experience working within Stars and/or Clinical Quality domain
  • 5+ years of experience analyzing medical data/records; sound knowledge of HEDIS measures
  • 5+ years of experience leading or coaching a team and prioritizing deliverables
  • 5+ years of experience working in business operational improvement, program management or data quality / operations positions
  • 5+ years of experience leading business data transformation programs / initiatives
  • 5+ years of experience with SQL or SAS coding
  • 5+ years of experience in project management

Preferred Qualifications:

  • Experience in cloud computing(i.e. Snowflake)
  • Experience working within Data Analytics
  • Experience as a System Analyst/Solution Architect
  • Experience managing data infrastructure tools and databases
  • Experience in Data Integration/ETL development within the healthcare domain
  • Experience in a leadership capacity within an Information Technology group
  • Knowledge and use of the ETL tools SQL Server Integration Services (SSIS) and Teradata Utilities
  • Knowledge and use of Teradata and Hadoop/Hive

Careers at UnitedHealthcare M&R Underwriting & HCE. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $101,200 to $184,000. 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.