Associate Director, Risk Analytics

UnitedHealth Group • Albuquerque, NM

117d • $89,900 - $160,600 • Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As an Associate Director - Risk Analytics, you will be part of the Optum Network Management team that services the Medicare Advantage patient populations across New Mexico and Arizona, with the goal of providing the best care for the Optum Network Patient and helping them live their healthiest lives. You will work with individual contracted practices, with a focus on resources, incentives, and technologies. If you are looking to work on meaningful projects that shape healthcare outcomes and want to grow in a collaborative data-driven environment - this is the place for you. If you live near Albuquerque, NM, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. This position follows a hybrid schedule with three in-office days per week.

Requirements

• High School Diploma/GED (or higher)
• 3+ years of professional data reporting/analysis experience
• 3+ years of experience in advanced level Excel skills
• 3+ years of experience implementing projects from start to finish
• 3+ years of experience with SQL with the ability to create ad-hoc queries and production processes
• 3+ years of experience with business intelligence tools such as Power BI, MicroStrategy or Tableau

Nice To Haves

• Degree in quantitative fields such as Statistics, Mathematics, Engineering, Finance, Health Administration or related field
• Experience within the healthcare industry
• Great attention to details and accuracy
• Excellent written and verbal communication skills with the ability to communicate effectively with leaders across the organization and external customers
• Previous experience with data analytics in a healthcare setting
• Familiarity with medical utilization
• Familiarity with CMS 5 Star, HEDIS, Risk Adjustment
• Comfortable with the development of reports from multiple data sets and organization of data for presentation to management

Responsibilities

• Design and maintain scalable, efficient SQL pipelines for evolving business requests on the Risk Adjustment reports
• Focus on the new development of highly complex Risk Adjustment analytics reports (parameter driven, performance-optimized Tableau dashboards)
• Provide in-depth ad-hoc analysis that influences decision making
• Support the maintenance and make enhancements to high-visibility Risk Adjustment national report delivered in Tableau
• Manage the full development lifecycle, including testing, deployment, and impact analysis (fully independent)
• Supporting cross-functional collaboration across Leadership, HCE, Clinical Excellence, and CDO teams to translate complex requirements into actionable analytics
• Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish
• Develop a full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment
• Leverage and coordinate enterprise-wide capabilities to meet business-specific needs

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED