Manager, Provider Data Analytics & Delivery–Telecommuter Job in Minneapolis 55401, Minnesota US
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Positions in this function are responsible for various activities related to Medicaid provider compliance filing, which may include any or all of the following:
Oversight of database maintenance, reporting and extracting data for various reports and analyses, participating in work sessions with Medicaid Health Plan leaders and plan regulators to understand filing requirements, creating business requirements, review and approval of IT Solution Summary Documentation, creating and communicating change control documentation, program quality control and operations gap identification, oversight of provider data quality initiatives driven by the state filing process, and driving execution of key metrics and deliverables.
Develops and maintains standards for quality assurance and analytics functions, coordinates corrective activities to clean provider data, and manages communication processes with other departments regarding Medicaid state compliance filing and related provider data analysis. Conducts audits and provides feedback to reduce errors and improve processes and performance. Oversees analytics and results to ensure provider data quality issues are remediated. Responsible for representing Provider Data Operations and reporting and tracking execution on timebound state compliance files, as well as analytics results and subsequent research and remediation efforts.
Manages and is accountable for professional employees and/or supervisors.
- Sets team direction, resolves problems and provides guidance to members of own team.
- May oversee work activities of other supervisors.
- Adapts departmental plans and priorities to address business and operational challenges.
- Influences or provides input to forecasting and planning activities.
- Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external).
Requirements:
Bachelor's degree or equivalent experience
3 yrs supervising people and/or projects in a cross functional work environment
3 yrs experience working in a client facing environment
Ability to drive execution in a rapidly changing environment by reprioritizing and developing flexible project plans
Project management experience
3 years experience working in an analytics shop or equivalent work experience with large data sets extracted from different sources
Moderate proficiency with Excel, but experience with other analytics applications (SAS, Sequel, MS Access, etc) is a bonus
1 yr experience working with/supervising business analysts and programming staff.
Experience working with provider demographic data, network data, contract data, as well as understanding of the claims process
UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.
UnitedHealthcare Medicare Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.
UnitedHealthcare Community State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.
Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.
Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
