Advisory Services Sr. Consultant - Remote

UnitedHealth Group • Eden Prairie, MN • 1h ago

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.

The Advisory Services Senior Consultant provides deep expertise in HEDIS data, analytics, and quality measures, assisting organizations in ensuring compliance and improving performance for various health plans. Responsibilities typically include data analysis, HEDIS data validation, NCQA and state specific submissions, user acceptance testing, and developing reports. This role requires solid analytical skills, knowledge of healthcare systems, coding (ICD, CPT) and experience with tools like SQL, PowerBI, and Excel.

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.

Primary Responsibilities:

Analyze, review, and trend complex healthcare data

Support short and long term operational/strategic business activities through analysis

Develop recommended business solutions through research and analysis of data and business process and implement when appropriate

Self-starter that demonstrates accountability for all assignments

Assess and interpret customer needs and requirements

Identify solutions to non-standard requests and problems

Solve moderately complex problems and/or conduct moderately complex analyses

Work with minimal guidance; seek guidance on only the most complex tasks.

Translate concepts into practice

Provide explanations and information to others on difficult issues

Coach, provide feedback, and guide others

Act as a resource for others with less experience

Technical skill is required as this position is a mix of business and technical skills

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.

Required Qualifications:

3+ years of experience with healthcare claims analysis

3+ years of experience; skilled in reading and writing moderate to complex SQL commands and accurately assessing results

Experience with analyzing HEDIS metrics or working as a Functional SME for HEDIS reporting

Ability to write clearly composed documentation for business requirements, as well as information that will be distributed to auditors

Ability to solve problems, including multiple priorities and researching conflicting and/or inaccurate data

Ability to travel up to 40% of the time (Typically out on Sunday/Monday with return home on Thursday - or shorter trips - as business needs dictate)

Preferred Qualifications:

Experience with HEDIS vendor software a plus or experience with HEDIS reporting using other tools

SSIS ETL development experience

Experience gathering requirements from the client/business and documenting

Experience with process improvement, workflow, benchmarking, and/or evaluation of business processes

Intermediate level of proficiency with PC-based software programs and automated database management systems (Excel, Access, PowerPoint)

Project management experience

Working knowledge of relational databases, database structures

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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