Health Home and Value Based Care Lead Developer - Remote

Health Home And Value-Based Care Lead Developer, Business Intelligence

At United Healthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Health Home and Value-Based Care Lead Developer, Business Intelligence, is a key member of Government Programs Quality & Value-Based Care Business Intelligence team, focused on the support of the Medicaid Health Homes and value-based care programs. This is a position that is highly matrixed within the division, lines of business, and value-based care clinical support team. The person must be a self-starter and possess outstanding analytical skills.

This role is responsible for end-to-end development and ongoing support of reports and visualizations that capture member and provider data related to eligibility and enrollment of Health Homes, admissions, discharges, and transfers (ADTs) to and from facilities, medical and pharmacy utilization, cost, and quality. Drawing from multiple UHC data platforms, the business analyst ensures accurate, timely clinical reporting across multiple initiatives.

Primary responsibilities include documenting business requirements and producing state-mandated reports focused on affordability, quality measures, provider profiling, and clinical transformation. The analyst will take the lead for creating, generating, and troubleshooting data and reporting for multiple state markets. A solid understanding of enterprise data platforms and a commitment to data quality are essential.

The position supports performance improvement efforts across Medicaid Health Homes and value-based care programs by providing data-driven insights and recommendations.

Highly matrixed across business lines and clinical teams, this role requires a self-starter with excellent analytical skills. The Business Analyst will also:

• Develop SQL-based reports, Excel models, Tableau and/or Power BI dashboards to support both short- and long-term business goals
• Conduct root cause and gap analyses to inform action plans for clinical transformation initiatives
• Identify opportunities for process improvement. Work with technical teams to define, build, and test process automation where possible

This position reports to the Director of Business Intelligence for Value-Based Care.

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.

Primary Responsibilities:

• Work closely with senior leaders across multiple levels of management to provide information that impacts the full scope of clinical performance reporting
• Manage multiple projects with varying scope level simultaneously
• Make solid recommendations based on analysis and provide explanations for reporting results for both internal operations and our business partners
• Define the approach and collaborate with technical stakeholders, such as database developers, and business/market stake holders to define and gather business, functional and non-functional requirements
• Validate reporting requirements with stakeholders and project teams, providing suggestions and recommendations as appropriate
• Analyze, review, forecast, and trend complex data pertaining to performance metrics which are sourced from various enterprise systems including Snowflake and SQL Server databases
• Conduct gap analysis between current and future state and assist in the build and operationalization of future processes pertaining to analytic strategy
• Analyze data and trends, perform root cause analysis to determine and establish best practices and areas of improvement related to reporting and systems utilized for care coordination
• Develop and document end-to-end reporting and/or business process flows, data flows, system impacts, and procedural task and procedural change issues
• Identify and/or establish appropriate testing metrics/targets to validate that business requirements are being met (i.e., performance metrics, process deliverables, traceability, business value)
• Conduct and/or support testing activities (i.e., production, regression and user acceptance testing, production validation)
• Plan/execute user testing scenarios/scripts and prepare test data

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 experience working in a business and/or systems analyst role
• 4+ years of experience utilizing SQL to write queries for ad-hoc reporting in SQL Server…