SDS Clinal Quality Analyst - HEDIS - Remote EST / CST

UnitedHealth Group•Minnetonka, MN

18h•$60,200 - $107,400•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The SDS Consultant is responsible for ensuring the accuracy, completeness, and audit-readiness of Supplemental Data Source (SDS) documentation, with a primary focus on HEDIS Section 5 compliance. This role plays a critical part in supporting successful audit outcomes by reviewing, editing, and validating documentation, as well as coordinating remediation efforts and verification activities.

Requirements

2+ years of HEDIS audit experience
Experience with Section 5 documentation
Experience with Supplemental Data Sources (SDS)
Able to work EST or CST schedule
Exceptional attention to detail – ability to identify subtle discrepancies and ensure accuracy in documentation
Strong written and verbal communication skills – clear, concise, and professional communication with stakeholders
Responsiveness and accountability – ability to manage deadlines and follow through consistently
Analytical thinking – ability to interpret audit requirements and apply them effectively
Adaptability and quick learning – ability to rapidly understand tools, processes, and evolving audit requirements
Experience working with audit tracking tools or data systems
Proficiency in data entry, tracking, and documentation management
Must have reliable, hardwired high-speed internet (Wi-Fi not permitted)
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

Experience supporting NCQA audits
Familiarity with healthcare data, coding, and chart review processes preferred

Responsibilities

Conduct comprehensive reviews of Section 5 submissions for completeness, accuracy, and compliance with NCQA standards
Provide actionable feedback and detailed editing recommendations to improve documentation quality
Ensure all supplemental data sources meet audit standards and are properly documented
Identify risks, gaps, or inconsistencies and recommend corrective actions
Collaborate with internal teams to communicate required updates and track progress
Proactively follow up to confirm implementation of recommended changes
Perform PSV activities, including chart reviews, for non-standard supplemental data sources
Validate data integrity and ensure adherence to audit requirements
Accurately enter and maintain data within the SDS tracking tool
Track Section 5 progress, PSV results, and auditor issue logs
Ensure timely resolution and proper documentation of all audit findings
Monitor and manage auditor feedback and issue logs
Support root cause analysis and corrective action tracking