Sr Data Analyst - Remote

Lensa; Eden Prairie (MN); Remote; USD 89,000 - 177,000; Full time

Job summary

A leading company in healthcare technology is looking for a Senior Data Analyst to support clinical programs through data management and analytics. This role involves collaborating with teams to enhance data quality and reporting capabilities while ensuring compliance with regulations. The ideal candidate will have extensive experience in relational databases and business intelligence tools, particularly in the healthcare sector.

Benefits

Comprehensive benefits packages

Incentives and stock purchase options

401k

Qualifications

• 5+ years of experience with relational databases.
• 3+ years developing in business intelligence/visualization software.
• 3+ years in Healthcare Industry or claims experience.

Responsibilities

• Stratify clinical documentation systems for sampling needs.
• Create analytics for documentation completeness.
• Ensure accurate data submission to regulatory entities.

Skills

Critical thinking

Problem-solving

Analytical skills

Strategic skills

Tools

SQL

Tableau

Power BI

SAS

SSIS

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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.

This is an exciting role in the growing Optum Health division within UnitedHealth Group. This role will report to our analytics leaders out of Dublin, Ireland but will operate as a conduit between our Ireland Data Science group and our US stakeholders. The ideal candidate is passionate about working with data and driven to deliver creative and compelling solutions and analytics results, turning data into actionable insights for our business. The prospective Senior Data Analyst will support the organization in identifying key trend components of the Optum Health clinical programs, key metrics for clinician documentation needs, statistical sampling, gap analysis, and data quality assurance.

Positions in this function are responsible for managing and manipulating structured data, building business intelligence tools, conducting pattern recognition and trend analysis, normalization, and data quality assurance. Team members will use business intelligence, data visualization, query, analytic, and statistical software to build solutions, perform analyses, and interpret data. These roles typically focus on descriptive and regression-based analytics, leveraging subject matter expertise in designing analytics and algorithms.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S., tackling challenging projects.

Primary Responsibilities

1. Stratify clinical documentation systems to determine sampling needs and ensure coding accuracy. Develop process controls and reconciliation procedures for file transfers and data processes.
2. Create analytics to support documentation completeness and data-driven decision-making for outcomes. Merge and scrub data from different sources to highlight clinical outcomes and program impact.
3. Ensure accurate data submission to regulatory entities like CMS for risk-adjustable populations. Optimize data submission for Hierarchical Condition Categories (HCCs) and Quality performance using available tools and risk models.
4. Collaborate with internal and external partners to minimize submission errors and report relevant data sets. Develop and improve processes related to risk adjustment and quality improvement, ensuring compliance with laws and regulations.
5. Develop and maintain reporting capabilities to measure and forecast risk scores and quality metrics, and identify areas for improvement. Maximize risk adjustment revenue and quality bonus payments through data integration and analytics.
6. Validate data integrity and work with technical teams to improve data pipelines and business logic. Lead internal subject matter experts in meetings to correct data submission and adjudication errors.
7. Assist with audits, including RADV, through preparation and documentation, performing root cause analysis to maintain high data integrity. Stay updated on CMS regulations and announcements affecting risk adjustment and CMS Star Ratings.

Job Scope

• Anticipate customer needs and proactively develop solutions to meet them.
• Serve as a key resource on complex and critical issues.
• Solve complex problems and develop innovative solutions.
• Perform complex conceptual analyses.
• Review work performed by others and recommend improvements.
• Forecast and plan resource requirements.
• Authorize deviations from standards.
• May lead teams or projects within the function.
• Provide explanations and information on complex issues.
• Motivate and inspire team members.
• Develop innovative approaches.
• Be recognized as an expert in the field.

You’ll be rewarded and recognized for your performance in an environment that challenges you, provides clear success metrics, and offers development opportunities for future roles.

Required Qualifications

• 5+ years of experience with relational databases (SQL, Oracle, Teradata).
• 3+ years developing in business intelligence/visualization software (preferably Tableau or Power BI).
• 3+ years in Healthcare Industry or claims experience.
• 3+ years developing with SAS/SSIS or similar tools.
• Proficiency with MS Office Suite (Excel, Access, PowerPoint, Word).
• Excellent critical thinking, problem-solving, oral, and written communication skills.
• Strong analytical and strategic skills.

Preferred Qualifications

• Healthcare risk adjustment experience.
• Patient clinical management data experience.
• Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range is $89,800 to $176,700 annually, based on full-time employment, with compensation influenced by location, education, experience, and certifications. Benefits include comprehensive packages, incentives, stock purchase options, and 401k. The application will be open for at least 2 business days or until a sufficient candidate pool is reached, with early removal possible due to volume.

Our mission is to help people live healthier lives and improve the health system. We are committed to equity, diversity, and inclusion, addressing health disparities, and environmental responsibility. We are an Equal Employment Opportunity employer and a drug-free workplace, requiring a drug test before employment.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Information Technology

Industries

• IT Services and IT Consulting