The Data Analyst will be responsible for performing comprehensive analysis, supporting both physical and behavioral HEDIS measures and collaborating with the behavioral health team.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities: - Prepare for and actively participate in the annual NCQA HEDIS audit process, including gathering documentation, responding to auditor requests, validating measure logic, and supporting audit deliverables
- Monitor, analyze, and trend HEDIS and quality performance data on a monthly basis to identify performance gaps, emerging trends, and opportunities for improvement
- Develop and maintain dashboards, PivotTables, and reports to support quality programs, HEDIS performance, Star Ratings, PIP initiatives, and other clinical quality measures
- Utilize SQL to extract, validate, analyze, and interpret healthcare data from multiple data sources to support reporting, measure monitoring, and operational decision-making
- Collaborate with internal business partners, provider groups, healthcare informatics teams, and leadership to ensure data accuracy and support quality improvement initiatives
- Prepare and update executive-level presentations, reports, and visualizations that communicate performance results, key findings, risks, and strategic recommendations
- Provide actionable insights and recommendations to leadership regarding areas requiring focus, intervention, or performance improvement
- Support the development and implementation of supplemental data processes, reporting enhancements, and data validation activities
- Participate in cross-functional meetings and workgroups to provide subject matter expertise related to HEDIS measures, quality reporting, and healthcare data analytics
- Assist with ad hoc analysis, special projects, and strategic initiatives that support organizational quality goals and regulatory requirements
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 experience writing and maintaining SQL queries for data extraction, analysis, and reporting
- 2+ years of experience working with healthcare-related data, including analysis, validation, and performance monitoring
- Intermediate level proficiency in Microsoft Excel, including experience with PivotTables, dashboards, data analysis, and reporting
- Proven analytical and communication skills, with the ability to translate complex data into meaningful insights and present findings to leadership
- Demonstrate ability to support data-driven decision-making and quality improvement initiatives
- Proven excellent organizational skills with attention to detail and accuracy
Preferred Qualifications: - HEDIS experience
- Proven knowledge of HEDIS measures, quality programs, and health plan rating methodologies (e.g., Star Ratings)
- Demonstrated familiarity with NCQA standards, HEDIS audits, and regulatory reporting requirements
- Proven knowledge of Medicaid quality reporting and state-specific reporting requirements
- Experience managing, validating, or integrating supplemental data feeds to support quality measurement and reporting
- Proven understanding of healthcare quality improvement programs, population health, and performance measurement
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
