Job Description
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together. Seeking a highly skilled Business Analyst Consultant to support our Risk Adjustment and Quality initiatives. This role requires a dynamic professional who excels in data analysis, operational modeling, and cross-functional project leadership. The consultant will play a critical role in analyzing, reviewing, forecasting, trending, and presenting data to drive both short- and long-term business strategies and operational planning.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities - Analyze and interpret data to identify trends, forecast performance, and support business decision-making
- Develop and maintain operational dashboards, models, and tools to support Risk Adjustment and Quality programs
- Facilitate cross-functional meetings with vendors, IT developers, and client-side Risk Adjustment and Quality teams
- Oversee creation of detailed project plans and milestones specific to data analysis activities
- Assess risks, formulate mitigation strategies, and set priorities based on data availability and business needs
- Present actionable recommendations and solution options to both internal teams and external clients
- Coordinate working groups and project teams across departments and functional areas
- Guide and participate in testing efforts, including quality assurance (QA), user acceptance testing (UAT), and end-to-end provider testing
- Write and maintain documentation for test plans, design validation, business requirements, and system integration
- Provide subject matter expertise on data flow, business logic, and operational processes for Risk Adjustment and Quality programs
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 leveraging SQL
- 3+ years of experience in healthcare analytics or data analytics
- Demonstrated experience in business analysis, data modeling, and project management within healthcare
- Demonstrated understanding of Risk Adjustment and/or Quality measurement programs
- Demonstrated experience leading cross-functional initiatives involving IT, clinical operations, and analytics teams
- Demonstrated knowledge of Solution delivery life cycle and agile methodologies to participate on a matrixed team
- Experience creating and managing project documentation, stakeholder communications, and test scripts
- Demonstrated facilitation, organizational, and communication skills
- Ability to handle multiple priorities in a fast-paced environment
Preferred Qualifications - Knowledge of HEDIS, CMS guidelines, and RAF/ICD data structures
- Experience with data visualization and reporting tools (e.g., Tableau, Power BI)
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.
Job Tags
Minimum wage, Full time, Temporary work, Work experience placement, Local area, Remote job,