Senior Manager Data Scientist - Remote

UnitedHealth Group•Eden Prairie, MN

1d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position provides interpretation, execution, and report efficiencies and cost management of HEDIS Retrospective data for submission reporting of primary measures data as an effort to deliver a 4+ HEDIS/Star Performance rating with our Health Plans. Position works to conduct and manage outcomes of advanced analysis, reviews, forecasting, trending, and presents information to Business on system and data source capabilities for operational planning. Additionally, position produces innovative solutions driven by advanced analytics to provide predictive and prescriptive analytics to the enterprise, to ensure minimal risk to HEDIS/Star ratings and the Enterprise as a whole, reporting all impacts directly to VP. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

5+ years of managerial experience and/or experience leading a technical team
4+ years of experience working with Inter-Departmental teams
4+years of experience supporting Executive Management with department budgeting and Strategic Planning
1+ years of CMS Star and NCQA HEDIS knowledge
Basic understanding of SQL Server (Version 2005 or Higher)
Excellent analytical and problem-solving abilities

Nice To Haves

Health care industry experience
In-depth knowledge of HEDIS/Star regulatory requirements
Solid understanding of SQL and Informatics/ETL experience
Ability to lead change and achieve support for change; builds consensus
Solid verbal and written communication skills, with the ability to interface effectively with all levels of staff, including internal\external customers and senior management teams

Responsibilities

Responsible for managing/interpreting advanced analytics, including basic knowledge of understanding SQL queries and presenting findings to communicate strategic technical solutions to Executive Leadership on efforts that impact the bottom line
Manage multi-functional Teams of managers, developers and analysts to support and collaborate with WellMed business stakeholders
Supporting team with data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
Practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business
Developing an audit process to measure quality assurance and ensure data integrity, conformity and accessibility, on performed deliverables conducted within department
Manages HEDIS/Star technical team on completion of initial audit documents, issues of sampling methodology, data collection strategies, and HEDIS measure interpretation
Analyzes and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers
Provides leadership, analysis and technical guidance for implementation of HEDIS/Star Specifications
Stays current on all CMS, NCQA, and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits, and overall scores
Takes an active role in mentoring, and team performance management process by completing goal setting, mid-year review, and year-end review on a timely basis and soliciting ongoing feedback and professional development with team
Develop strong relationships across the enterprise with staff members and stakeholders to strengthen the department
Act as a liaison for the leadership management team, provide updates and status reports on all NCQA HEDIS Quality Measures
Collaborate with internal and external business partners to gain understanding of their business needs
Performs all other related duties as assigned