Senior Director, Delta Analytics and Risk Adjustment - Remote

UnitedHealth Group•Pearland, TX

9h•$134,600 - $230,800•Remote

About The Position

Kelsey-Seybold Managed Care Analytics exists to monitor and improve the financial performance of Kelsey-Seybold (KS) by providing actionable, data-driven insights to the organization. Within Managed Care Analytics, the Delta Analytics and Risk Adjustment team’s primary focus is the development and implementation of care value programs and analytics to support strategic evolution of evidence-based medicine strategies. The Senior Director will oversee a range of central operations and analytic teams in a dyad partnership supporting clinical services focused on medical expense drivers, inpatient performance, risk adjustment, and population health. The Director will be a “hands-on” leader who will build out expertise on the team, collaborate with internal and external stakeholders to develop cost of care scorecards, and own accountability for driving cost of care improvements. It requires an analytical and operationally focused executive experienced at providing consultative guidance and translating quantitative insights into operational change in a matrixed reporting environment.

Requirements

10+ years of experience in data analytics with depth in analytics, change management and strategic planning inclusive of: 8+ years of experience supervising or managing teams and/or projects
Advanced understanding of value-based healthcare
Program analytics evaluating the ROI and impact of clinical programs/interventions
Scorecard development and KPI definitions
Cost of care trend analytics and benchmarking
Proficiency in Microsoft Excel and Power Point
Proven ability to effectively report data, analyze facts, & exercise sound judgment when making recommendations to members of the sr leadership team
Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines
Proven ability to motivate others & function as working manager
Proven accountability for the development, production, and analysis of reports and data required to understand the key drivers of the relevant cost of care components and initiative impacts including:
Proven ability to execute and measure risk adjustment programs, including those related to member and provider engagement
Ability to travel to clinic sites as needed

Nice To Haves

Programming experience in SQL, SAS or similar application language
Familiarity with EPIC and Clarity reporting data warehouse
Consulting background
Solid VBC background
Proven ability to excel in a matrixed environment

Responsibilities

Provides long-range planning and oversight of delta and risk adjustment-related operations to ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company
Operates in a consultant role to clinical dyads across the organization to support the operational execution of clinical outcomes and cost of care goals
Accountable for the development, production, and analysis of reports and data required to understand the key drivers of the relevant cost of care components and initiative impacts including: Cost of care trend analytics and benchmarking, The execution and measurement of risk adjustment programs, including those related to member and provider engagement, Program analytics evaluating the ROI and impact of clinical programs/interventions, Scorecard development and KPI definitions
Build a highly effective team by ensuring adequate staffing is in place to meet enterprise needs, overseeing deployment of training and development activities, and establishing a culture of accountability to the team and enterprise