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Hours Full-time, Part-time
Location Santa Ana, CA
Santa Ana, California

About this job

Clinical Performance and Compliance - Informatics transform healthcare by analyzing, designing, and developing health information technology to enhance health outcomes and improve care. The informatics team is responsible for using health information technology in the creation and enhancement of analytic programs which enable various risk adjustment services across Optum, as well as creating innovative approaches to improve the quality of care. As a Sr. Business Analyst, you will be empowered to support short and long term operational/strategic business activities; develop, enhance and maintain operational information and models that will have an impact on business decisions. In this leadership role, you will have the opportunity to take the contributions of analysts and create valuable solutions to improve the health care system. Join us! Your passion for performance can fuel your life's best work.(sm) Primary Responsibilities:

This position will work on supporting and validating HEDIS data that impact Measures and Star Rating in the Quality portion of the Medicare business
Work with Medicare Risk Adjustment
Research, analyze, review, forecast, and trend complex data - routine data reporting
Review the analysis and interpretation of others work
Oversee ad-hoc client and operational reports developed and presented by others
Present analysis and interpretation for operational and business review and planning
Support short and long term operational/strategic business activities through analysis
Develop and implement effective/strategic business solutions through research and analysis of data and business processes

Requirements

Required Qualifications:

Bachelor's degree in Business, Finance, Health Administration, related field
2+ years of experience in business analysis
2+ years of experience in data analyst
Experience gathering requirements from the client/business and documenting
Intermediate level of proficiency with Excel
Intermediate level of proficiency with SAS or SQL required
Affective written and verbal communication skills
Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data
Preferred Qualification:

Medicare Risk Adjustment experience
Experience with research in business process improvement and process flow
Health Plan or Health Industry Background (Clinical, Claims, Enrollment)
HEDIS data that impact Measures and Star Rating in the Quality portion of the Medicare business.
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)
 
 
Diversity creates a healthier atmosphere: 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: Business Analyst, Data Analyst, risk adjustment, Medicare, HEDIS, Star Rating, Healthcare Services, data analysis, SQL, SAS, Excel, Santa Ana, CA