Medicaid Reporting Manager - Remote

UnitedHealth Group•Chicago, IL

7h•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. Optum State Government partners with state and local agencies to help modernize and manage Medicaid, health and human services, and public health programs through data-driven technology, analytics, and operational support—improving access to care, program efficiency, and outcomes for the populations they serve. The Medicaid Reporting Manager is a leadership role responsible for managing state and federal Medicaid reporting projects, acting as a liaison between the business team on the state side and the technical team on the Optum side, and requiring strong business acumen, Medicaid program knowledge, and experience with data warehousing and reporting projects. The manager will drive the reporting solution requirements and provide Medicaid directions to the team and be and be the SME. 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. This role will not support sponsorship at this time 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.

Requirements

10+ years of IT experience including 5+ years of leadership experience in data warehouse/data analytics/reporting projects, especially with project scope, resources, solution, risk/issues, communication, and stakeholders’ management
5+ years of business experience working/leading Medicaid projects with healthcare analytics and reporting in a multi-vendor environment
5+ years of technology background with knowledge/experience in large DBMS, data, ETL, BI tools
3+ years of proven experience leading complex and demanding Design, Development and Implementation projects with Business Intelligence/Data Analytics for decision support systems
Experience with Medicaid Program including Program management, Program Integrity, and Federal Reporting (such as PERM, T-MSIS, MARS, and Quality of Care core measures

Nice To Haves

PMI Project Management Professional certified or Certified Business Intelligence Professional (CBIP) certification
5+ years of experience with commercial or public healthcare insurance
3+ years of proven client-facing skills, excellent written, verbal communication skills, and presentation skills to executive teams
Experience with infrastructure management
Experience or knowledge of Tableau, PowerBI, Teradata/IntelliFlex, Informatica MDM, Verato, SAP Business Objects, JIRA, MS Project, or SAS
State Medicaid Data Warehouse or Medicaid Management Information Systems experience
Experience with Agile methodology, Scrum framework, and Agile/Scrum projects
Experience with Cloud based technology such as MS Azure, Snowflake database, Python, Azure Data Factory, Data Bricks, et al
Experience with managing complex application development projects with 10 or more resources, especially with Cloud based implementations
Experience managing customer relationships and stakeholder management
Reside local to Springfield, IL area or in driving distance to come to State office based on customer need (around 20%25 travel to Springfield, IL)

Responsibilities

Lead state and federal Medicaid reporting initiatives, serving as the primary liaison between state business stakeholders and Optum technical teams, leveraging strong Medicaid program knowledge, business acumen, and data warehousing/reporting expertise
Direct the Illinois Enterprise Data Warehouse analytics and master data management programs, overseeing platforms and deliverables including OPA, AEP, Symmetry, Federal Reporting (PERM, T MSIS, MARS, QoC), Medicaid operational reporting, ad hoc analytics, and HHS interoperability
Act as an analytics leader within the OGS Analytics practice, shaping reusable solutions and guiding product direction across analytics assets (OPA, AEP, Symmetry, Federal Reporting, PI)
Provide strategic and tactical direction to M&O and DDI teams on business requirements, solution design, and quality assurance for reporting deliverables
Lead and coordinate cross functional project teams (PMs, SMEs, analysts, developers, architects, testers, and administrators) to deliver contractual and project commitments while managing scope, timeline, risk, and dependencies
Serve as a trusted advisor and thought leader to state customer leadership, CMS, sister agencies, and vendors; manage customer relationships and proactively identify needs and solutions
Present insights, recommendations, and guidance to Optum and customer executive leadership on complex Medicaid data, reporting, and compliance topics
Stay current on Medicaid industry trends, Illinois legislative requirements, and federal CMS mandates to inform strategy and guide customer teams
Support growth of the analytics practice through innovation, knowledge sharing, and contribution to program and organizational objectives