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Senior Quality Report Analyst (Medicare) - San Antonio, TX

UnitedHealth Group

San Antonio, TX
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Job Details

738215 Senior Quality Report Analyst Medicare San Antonio TX

Senior Quality Report Analyst (Medicare) - San Antonio, TX (738215)

Position Description

The Senior Quality Report Analyst will be working with Medicare Advantage Part D (MAPD) and is responsible for managing all aspects of daily, weekly, monthly and annual reporting including the design, development, testing, documentation, maintenance and analysis of database queries and reports. Presents analyses results / recommendations to customer leadership directly in a timely, consistent, and accurate manner. Recommends and implements new or modified reporting methods and procedures to improve report content and completeness of information. Provides subject matter expertise on all data elements and report content related to the data warehouse. Coordinates with end users, the data warehouse developers, DBA’s and the change / release manager to ensure total system quality assurance is met at all times.



Primary Responsibilities:

  • Designs, develops, tests, documents and maintains database queries and reports related to but not limited to customer service, enrollment, eligibility, claims, and physician offices

  • Works with customers to define and document additional requirements to enrich reporting capabilities

  • Develops systematic reporting processes and procedures to ensure timely delivery of daily, weekly, monthly, annual and ad hoc reporting to management

  • Troubleshoots data integrity issues, analyzes data for completeness to meet business needs, and proposes documented solution recommendations

  • Transfers data into meaningful, professional and easy to understand formats for various audiences

  • Combines various data sources into a comprehensive understanding of customer behaviors and feedback for service improvement opportunities

  • Manages reporting and analysis elements on all business initiative projects

  • Recommends and implements new or modified reporting methods and procedures to improve report content and completeness of information

  • Troubleshoots and coordinates resolutions to all system issues affecting Customer Service

  • Creates on-line tools to improve efficiency and effectiveness of staff in their role of servicing our customer

Required Qualifications:

  • Bachelor's degree or 10+ years as a report analyst in lieu of a Bachelor's degree

  • Experience in Medicare Advantage Part D (MAPD) operations / HEDIS / STARS or CMS background experience

  • 5+ years of experience in a reporting and analytic role

  • Intermediate to Advanced level proficiency in SQL and MS Excel


Preferred Qualifications:

  • Master's degree

  • Intermediate Tableau experience highly preferred

  • Greenbelt Certification or Big Data Analyst Certification

  • 1 or more years of experience in a managed care environment

  • Experience with Power Pivot

  • Familiarity with Business Objects, Cognos, Microsoft Reporting Services, or other Reporting Tools

  • Development experience with APIs using Java, MS, or similar technology

  • Excellent analytical and problem solving capabilities with special attention to accuracy and detail

  • Self-starter with a proven ability to take ownership of job responsibilities and ensure successful completion of all projects and requests

  • Strong verbal and written communication skills, with the ability to interface effectively with all levels of management, including executive and senior management teams

  • Ability to effectively prioritize and multi-task in high volume workload situations



Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: Medicare, MAPD, Part D, HEDIS, STARS, CMS, Tableau, SQL, Excel, report analyst, analytic, Power Pivot, managed care, Java, Cognos, Business Objects, Greenbelt, San Antonio, TX, Texas

Job Details

  • Contest Number738215
  • Job TitleSenior Quality Report Analyst (Medicare) - San Antonio, TX
  • Job FamilyBusiness Operations
  • Business SegmentOptumCare

Job Location Information

  • San Antonio, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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