If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) Enterprise Clinical Performance is charged with effectively implementing, monitoring, and executing on government pay for performance programs with a special focus on Medicare Risk Adjustment and HEDIS. Enterprise Clinical Performance processes on a national level by providing support in all markets served by Optum Care Delivery. This position will report into the Associate Director of Process Control and will be responsible for supporting development of reporting capabilities related to monitoring cost and revenue estimates, operational metrics, and benefit realization for key Medicare Risk Adjustment & Quality initiatives for Care Services and Care Delivery. This position will work closely with internal Optum partners and external partners to develop new reports and reporting capabilities to meet the needs of our clients. This is a forward thinking position that requires building thoughtful and scalable technologies that help meet current and future growth needs of our business. The candidate must have excellent multi-tasking skills and enjoy thinking outside of the box to develop innovative ways to effectively and efficiently report the information needs of national and market levels. Primary Responsibilities:Reporting support:Present analyses and interpretations for operational and business review and planning at National, Regional, Market, Clinic, and Provider levelsMonitor and report on program performance and outcomesMaintain a thorough understanding of operating infrastructure to efficiently analyze and reportContinuous Improvement:Improve existing reports to better align with changing operations and business needsIdentify improved or enhanced reporting opportunitiesDevelop innovative ways to address and appropriately prioritize the varying information needs of marketsBusiness Growth:Perform analytics identify best business practices based on current and historical dataCoordinate with national and market leaders to assess and track outcomesAnalyze historical trends to identify potential opportunities for current and future program focus
Required Qualifications:2+ years of combined experience within managed care / health insurance industry experience in government relations, network management, and/or legal / compliance2+ years of experience in handling and managing large volumes of data1+ years of previous Business Analysis experience2+ years of previous data analysis, process documentation, and process improvement experience1+ years of previous experience interacting with business leadershipIntermediate level of proficiency with MS Excel10% travel Preferred Qualifications:Bachelor's Degree or Greater2+ years of experience in creating Microsoft SQL queriesFamiliarity with government pay for performance programsExperience in health and medical data and metricsExperience in CMS Risk Adjustment reportingExperience in Quality with a working knowledge of Star / HEDISExperience in TableauAbility to build strong relationships across a variety of stakeholdersSelf-starter and be able to take direction and come up with approaches and solutionsWorking in a matrix environment to drive efficiencies through influenceSeeks ways to improve job and operational efficiency and makes suggestions as appropriateTakes ownership of the process and provides constructive information to minimize problems and increase provider and market satisfaction Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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. Job Keywords: Business Process, analysis, risk adjustment, business process analyst, business analysis, telecommute, telecommuter, telecommuting, remote, travel, work from home
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.