UnitedHealth Group Clinical Quality Analyst SAS experience Telecommute in Minnesota
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
The Clinical Quality Analyst is accountable for developing/supporting data management/analytic solutions and participating in analysis to support quality/process improvement activities.
This is a telecommute position - Monday - Friday, days
Responsibilities include solutioning, developing, maintaining, and the production / retention of actionable and summary reports for distribution. Scope includes HEDIS, Part D, Stars and clinical quality improvement measures for Optum Complex Care Management and House Calls patients.
Includes ownership of clinical/quality reports: design, development, programming, maintaining and publishing reports to support operational / strategic business opportunities. Requires consulting with users to evaluate business & reporting requirements, identify operating procedures, evaluate existing or proposed systems, prepare detailed specifications from which reporting programs will be written and create reporting programs as able / needed.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Support analysis of complex data for trending and patterns; recognize significance of findings and identify improvement opportunities; participate in making program and process recommendations
Engagement in design, development, production, maintenance and archiving of reporting and data needs to support the Stars and Quality Programs
Report development: develop and maintain report logic, establish processes and control systems to meet prioritized goals and objectives in a timely manner, such as:
Part D Medication Adherence reporting: SAS program which utilizes member enrollment data, medical claims, pharmacy claims and PQA requirements to determine member and contract level medication adherence rates
Data migration: Support data movement between data environments applying systems / business rules as required
Report automation: Develop and maintain automation processes as required to enhance / support business needs
Control charting: Develop and monitor quality processes to ensure transaction data is within expected boundaries
Data management and privacy: ensure compliance with regulatory and business requirements
Work with others, including internal and external business, to interpret, develop & document report specifications, provide data-driven direction / guidance for Stars and clinical quality improvement
Evaluate data and reports for accuracy and validity; ensure that reporting meets customer requirements / regulations
Act as a subject matter expert, consultant and resource for team and others; develop processes and tools, and teach/ support/ facilitate use of data by other team members
This role is self-directed: proactively identifies and seeks out resources and information; adapts to changing environment & requirements; accountable for deliverables.
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.
Bachelor's degree required
5+ years SQL development experience (ex: SQL procedures, multi-table joins, grouping)
3+ years SAS development experience (ex: managing multiple library connections, data manipulation in arrays, PROC SQL)
3+ years experience with database and report development, use and maintenance, report distribution and storage (ex: Microsoft SQL Server Reporting Services (SSIS/SSRS))
Unix/Putty Mainframe scripting
Experience with EMR systems and data
Experience with medical and pharmacy claims data
Familiarity with HEDIS/Part D/Stars and/or other health care quality metrics
Understanding of mid-level statistics analysis
Competence in business software: Access, Excel, Visio, etc.
Exceptional communication skills; able to understand IT concepts and associate these concepts to business needs
Ifyou need to enter a work site for any reason, you will be required to screenfor symptoms using the ProtectWell mobile app, Interactive Voice Response(i.e., entering your symptoms via phone system) or a similar UnitedHealthGroup-approved symptom screener. Employees must comply with any state and localmasking orders. In addition, when in a UnitedHealth Group building, employeesare expected to wear a mask in areas where physical distancing cannot beattained.
Clinical/ healthcare background or experience in complex healthcare environment
Managed care experience
Competence in mid-level statistics
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. SM
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: SAS, SQL, HEDIS, STARS
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