Sr Data Analyst - Provider Performance - Remote ($...

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Surest™, a UnitedHealthcare Company, (formerly Bind) provides a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and help us design and deliver a cutting-edge health benefit that changes the face of health care.

We are seeking a Sr. Data Analyst to join our growing team to support our evaluations of providers' performance on cost, quality and patient experience.

In this position, you will play a key role in enabling the Surest benefit plan by supporting the ongoing improvement and communication of Surest's provider performance evaluations. The Sr. Data Analyst - Provider Performance will support the optimization of some of Surest's key differentiating assets around evaluating providers and setting distinct member copays while collaborating with other areas across the organization that leverage the provider performance evaluations. This work will include analyzing provider network data, claims data and outputs from the Surest provider performance evaluation pipeline. This position will develop materials that support Surest work with external entities such as demonstrating Surest capabilities for regulators as a part of Surest fully-insured expansion and supporting claims audits for self-insured ASO clients.

Primary Responsibilities

• Develop robust dashboard with summary-level statistics and support detailed drill downs into the performance of specific providers and services
• Collaborate with Data Science and Dev teams to analyze the impact of Surest provider performance approaches, and identify potential enhancements and optimizations
• Work with Surest and other UHC teams supporting client audits of Surest claim payment approach and accuracy
• Develop tools that support getting stakeholder and regulator alignment for Surest fully-insured expansion into additional states
• Support responding to custom analytic requests and questions from clients and other stakeholders
• Assist with the preparation and delivery of clear and concise communications for various internal and external stakeholders

You'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

• 4+ years of business or data analysis experience
• 2+ years working healthcare administrative data (e.g. claims, enrollment, provider directory)
• 2+ years working with relational databases using SQL or Python
• Intermediate level experience with Excel and developing financial modeling

Preferred Qualifications

• Experience with business intelligence tools (i.e. Looker, Tableau, Power BI)
• Experience with SQL and relational database pipelines and tools (Databricks and Ascend)
• Experience with Excel and developing business intelligence reporting to support strategy development
• Knowledge and experience in a healthcare environment with HIPAA requirements
• Deep understanding of health care industry concepts (encounters, episodes, members, cost of care, benefit administration, etc.)
• Working knowledge of clinical data domains and code sets (CPT, ICD, DRG, etc.)
• Working knowledge of provider directory data
• Proximity to San Francisco (CA), Minneapolis (MN) or New York City (NY)

Soft Skill Requirements

• Ability to distill multiple concepts and identify key opportunities for action in an innovating environment that includes ambiguity and change
• Ability to manage multiple tasks and priorities in a highly dynamic environment, strong problem-solving skills, exceptional attention to detail
• Ability to communicate effectively, excellent interpersonal and communication skills, both written and verbal