Senior Clinical Data Analyst - Telecommute

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: May 12, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:

• Schedule, maintain and provide the clinical QA reviews for all analytics produced by the team
• Build and maintain relationships with upstream and downstream partners to identify prioritize and support continuous improvement and optimization opportunities
• Participate in the planning of clinical QA testing for Predictive Modeling team and for analytic systems improvement projects
• Ensure accuracy, consistency and quality of deliverables regardless of client data challenges
• Act as Lead for specific client data projects and interact with technical staff and commercial clients
• Identify opportunities to improve models from the analysis of predictive model output and suggest ways to improve the models
• Document any clinical QA findings
• Work with less structured, more complex issues
• Work in a cross-matrix environment and serve as a resource to others
• Identify opportunities to improve the overall true positive outcome of models by working with the reporting team
• Review medical records to identify additional savings opportunities for commercial clientsYou'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:
  • RHIA, RHIT, CCS-P, CPC or RN degree
  • 5+ years of healthcare claims experience (e.g. billing, coding, or auditing claims)
  • 1+ years of experience analyzing clinical data
  • Experience working with large claims data setsPreferred Qualifications:
    • CPC/CCS-P certified
    • Experience using big data tools such as R, Python, Spark, Hadoop etc.
    • Experience building reports with Tableau or Cognos
    • Claims editing and/or healthcare fraud experience
    • Excellent interpersonal and communication skills (written and verbal)
    • Task oriented and ability to manage multiple projects
    • Intermediate Excel experience
    • Ability to work independently
    • Solid problem solving skillsTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employmentCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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. Colorado, Connecticut or Nevada Residents Only: The Salary -range for Colorado residents is $82,100 to $146,900. The Salary -range for Connecticut/Nevada residents is $90,500 to $161,600. -Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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 incentivesDiversity 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.

Keywords: UnitedHealth Group, Eden Prairie , Senior Clinical Data Analyst - Telecommute, Healthcare , Eden Prairie, Minnesota