SDO - Quality Data Analyst - Remote CST or EST

UnitedHealth Group•Minnetonka, MN

13h•$72,800 - $130,000•Remote

About The Position

Supplemental Data Operations is dedicated to the evaluation and management of supplemental data sources (SDS) including efficacy evaluation, coordination of auditor approvals and documentation, as well as development of requirements documentation for all supplemental data sources. The team collaborates with the ECDP team, Quality Optimization and Insights, ECDH, ECP and other appropriate areas of the business, to ensure the most efficient management of data for the greatest Enterprise gain. All work supports Commercial, Medicare & Medicaid quality improvement programs. This role will report to the Technology Operations however will have dedicated responsibilities to support supplemental data operations. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. The position may telecommute however work hours are either Central or Eastern Time zones.

Requirements

5+ years of experience with data analytics and reporting
3+ years of experience in Healthcare Industry with Quality/Process Improvement focus with understanding of medical terminology and clinical care
2+ years proficiency with R, Python, SQL, Dashboarding including complex query writing
1+ years of demonstrated success with project management
Advanced MS Excel and MS Access skills
Proficiency with MS Office (Including Word, Outlook, PowerPoint, Visio)
Proven problem-solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Able to work EST / CST schedule

Nice To Haves

1+ years of experience with HEDIS® documentation
1+ years of experience with auditing processes
Understanding of data gathering/analysis
Comprehensive understanding of HEDIS® requirements
Proven ability to learn new technologies
Proven project management skills
Solid interpersonal skills
Ability to work on assigned tasks independently
Team player who can influence change
Solid communication skills
Organized
Ability to manage multiple projects at a time

Responsibilities

Identify opportunities to improve data quality within data sources
Collaborate with team to support development of action plans to implement data quality improvements
Serve as a liaison to quality partners to consult regarding SDS data requirements
Conduct primary source verification performed for supplemental sources (internal and external, including pre-prod PSV during implementation) - year round
Ensure data completeness and identify required updates (end to end reporting/validation)
Identify the best means of managing data exchange across internal teams
Coordinate with key internal departments (ECDP, ECDH, ECP) and other teams to implement new SDS development
Monitor file loads for all sources for anticipated volumes of records
Monitor SDS efficacy/impact for anticipated measure impact
Research situations where impact is not being experienced as expected
Research situations to validate if impact is higher than anticipated to ensure accuracy
Develop projects and plans across various teams to engage in solutions as needed
Evaluate coding against annual technical specification changes and communicate findings to stakeholders during month of technical specification release
Communicate requirement changes for any changes in SDS reporting to data team developing reports
QA changes
Validate report production
Manage & validate data backouts, when required
Conduct source reconciliation in SDS Tracker
Ensure data load lists are obtained and flowing to data team preparing file comprehensive load reporting
Manage data source list and crosswalks to support reporting and operations
Develop & maintain data processing schedule
Assess submitter data for existence
Incorporate benchmarking techniques for data validation
Review trends of monthly prospective data runs to identify data issues
Assess, produce and/or develop moderately complex relevant, standard or custom information (reports, dashboards, interactive reporting, charts, graphs and tables) from various data sources by querying data and generation the associated output
Summarize effectively data findings after research and create visualizations fit for purpose
Develop SDS Tool, maintain and continue to enhance functionality to execute department goals
Complete efficacy reports and ensure accuracy, explain variances as needed
Manage & validate data backouts, when required
Conduct source reconciliation in SDS Tracker for Audit submitted/approved vs SDS Impact
Complete complex research requests related to SDS
Ensure data load lists are obtained and flowing to data team preparing file comprehensive load reporting and assess vs. efficacy
Manage crosswalks to support reporting and operations
Rate trending/tracking
Assessment of submitter data - existence - benchmarks for data
Maintain metrics pertaining to SDS
Maintain documentation required to support use of supplemental data for HEDIS® for auditors and internal requirements
Participate in audits as needed
Participate in all source validation efforts
Participate in Staff and SDO work group meetings
Complete responsibilities as assigned in work plan associated with maintaining and obtaining supplemental data, managing auditor requirements and associated documentation and oversight of business partner inputs and outputs
Complete work on time, especially as it pertains to HEDIS® auditor deadlines
Act as the Audit Liaison for SDO
Assesses and interprets customer needs and requirements
Translate requirements into technical specifications
Develop & produce ad-hoc reports
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Works with minimal guidance; seeks guidance on only the most complex tasks
Support national projects /pilots
Stay current with new technology / data sources being developed within UnitedHealth Group
There may be circumstances where these responsibilities vary by line of business