Note: The job is a remote job and is open to candidates in USA. UnitedHealthcare is simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The Quality Data Analyst will manage supplemental data sources, evaluate data quality and efficacy, support reporting and audit requirements, and collaborate with internal teams on data operations and quality improvement programs.
Responsibilities
- Source Management
- 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)
- Data Management
- 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
Skills
- 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
- 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
- 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
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Remote work from anywhere within the U.S.
- Development for other roles you may be interested in
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