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Job Information

UnitedHealth Group Business Analyst / Performance Measures Analyst-HEDIS-Telecommute in Eden Prairie, Minnesota

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Quality Services Team works closely with clients to enhance the Quality Measures Engine and continue to remain in compliance with NCQA certification, meeting key deadlines and milestones, and as a partner with NCQA on policy clarification. NCQA certification is also an integral part of health organization accreditation programs and the certification seal brings a formal acknowledgment of integrity for quality performance. The ability to perform integrated quality and clinical analytics for comprehensive, end-end insights and services.

The Business Analyst/Performance Measures Analyst will be responsible for building performance measures according to regulatory and client requirements, measures certification execution, support program increment initiatives for non-deliverable/deliverable items, and author and maintenance of stakeholder and client documentation. The role will be in collaboration with strategy and technology partners and would require the ability to communicate requirements effectively to ensure measures results and auditing are successful. The role would also be the first in line for triaging measure variances and system failures in order for tech partners to identify root cause of any unexpected results.

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

Primary Responsibilities:

  • Certification responsibilities include and are not limited to interpreting NCQA HEDIS Technical Specifications for quality performance measures and build measure requirements, work with developers to build python functional code, and perform data analysis in order to update measure requirements to meet certification expectations

  • Work with data integration of a HEDIS software engine and impact for downstream reporting tool/data repository

  • Intermediate SQL knowledge in order to understand coding/syntax required for helping developers understand expected coding requirement for python code for acceptance criteria

  • Use subject matter expertise in measures development to quickly identify data analysis opportunities and fixes for measures coding and expected results for certification during rigorous certification timelines

  • Comprehensive understanding of certified software engine integrated into reporting system in order to identify dependencies and risks across integrated products and capabilities

Are you up for navigating a complex matrix of business units and teams? We share a near obsessive desire to outperform and outdo our own achievements across our entire global business landscape. It's going to take all you've got to create valuable solutions to improve the health care system.

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:

  • 3+ years of HEDIS subject matter expertise

  • 3+ years working with a quality performance measures engine through certification process with NCQA

  • 3+ years business analyst experience working with technical team identifying requirements, user stories, and acceptance criteria for development and quality assurance testers

  • 3+ years working with data integration of a HEDIS software engine and impact for downstream reporting tool/data repository

Preferred Qualifications:

  • Bachelor's degree in Business, Computer Science, Health Administration or related field or

  • 4+ years of experience with a measures engine with an associate’s degree

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $79,700 to $142,600. The salary range for Connecticut / Nevada residents is $87,900 to $156,900. 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 Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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 Analyst or Performance Measures Analyst, HEDIS, Business Analyst, Performance Measures Analyst, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

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