Associate Reporting Analyst - NYC telecommute

Position Description:

This position is responsible for the management of processes and
dataflow required to implement and operate special regulatory programs. 
This role also serves as the primary point of contact with regards to these
special populations for the NY State DOH, Local District Social Services (LDSS)
offices and outside care management agencies. 

Management of business requirements, implementation of data
solutions, and maintenance/reporting are included in the job functions.  Because
the requirements of the state are often given with little notice or made
effective retroactively, this employee will need to have flexibility and the
skills necessary to make quick changes to databases, processes, reporting and
documentation.  Ad hoc analysis is often requested of this role.   

Regulatory
Programs:

• Act as liaison to external partners, including the NY State DOH, Local District
  Social Services
• Insure
  operational infrastructure and cross departmental handoff is documented,
  monitored and tracked. 
• Create/update
  and maintain databases/data requirements used to administer operations of
  state-specific programs, creating queries and algorithms for effective
  management of the data. 
• Tracking
  data:
• Track
  data provided by the state or other external agencies, reconcile and
  compile.  Submission to NYSDOH, when required.    
• Utilizing
  the Maximus E File to obtain information on the homeless member population and
  tracking additional information received from external sources, ie: homeless
  shelters, returned mail.
• Retrieving and processing
  Patient-Centered Medical Home (PCMH) files from the state, reconciliation with
  core systems, and payment processing.
• Create standard and ad-hoc
  reporting for regulatory submission as well as Operations and Finance, as
  required.
• Track/reconcile any
  related billing
• Interface with
  intersegment partners providing them with the necessary data and reporting
  required in order to administer their portion of the regulatory program. 
• These include Pharmacy,
  Optum Behavioral Health, Optum Health Care Solutions and others.
• Ability to perform and
  deliver technical solutions when business requirements are unknown or poorly
  defined, and constantly changing.
• Balance program
  requirements with technical constraints while ensuring that the value of the
  program is realized
• Plan, implement, manage
  and simplify automation of complex algorithms, systems and processes involving
  major functions or business units
• Proactively ensure
  programmatic consistency and coordination across multiple teams and vendors
• Identify and work
  effectively with key stakeholders on complex cross team or work group projects
  or problems
• Communicate strategies,
  methodology and tools to work group members, project team members, and
  executive groups
• Analyze, validate,
  manipulate and reconcile large data sets to identify business risks and
  opportunities.
• Possess knowledge of
  Maximus files, NY State Enrollment rosters, billing and care management
  functions, and have the technical expertise to integrate them into existing UHC
  processes. 

Required Qualifications:

• Bachelor's degree or HS diploma/GED with 3+ years reporting analyst
  experience
• Must be able to import data, create pivot tables,
  workflow charts and have a solid understanding of formulas using MS Excel
• Must be able to improve reporting, automate business
  processes and promote collaboration utilizing SharePoint.
• 2+ years previous reporting experience
• Experience working with other databases

Preferred Qualifications: 

• Prior experience with SAS or Sagent 
• Bachelor's Degree
• Claims Processing experience

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.