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Sr. Business Analyst - Community & State - Greensboro, NC

UnitedHealth Group

Greensboro, NC
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Job Details

751060 Sr Business Analyst Community State Greensboro NC

Sr. Business Analyst - Community & State - Greensboro, NC (751060)

Position Description

Here’s the thing about challenges. They provide limitless opportunities for greatness. And what we have in mind for you is definitely big. At UnitedHealth Group, we’re changing the future of health care and we have the expertise, advanced technology and global resources to make it happen. As a Senior Business Analyst, you’ll work with the brightest minds in the business and find yourself digging deep to find the solutions to help people live healthier lives. You’ll be responsible for analyzing, reviewing and forecasting data for operational and business planning to impact the health care system. What could be more satisfying than that? Join us!


As a Sr. Business Analyst you'll investigate non-standard requests and problems, make presentations to senior leadership, ensure project documentation is accurate and ensure projects are completed on time and within scope.
Are you a subject matter expertise in project management, scope definition, risk identification, methodology and resource allocation or facilitation? Assist us with leading strategic initiatives crossing business teams and operating groups as a STARs Sr. Business Analyst to coordinate and complete projects, define performance and results and manage vendors and service providers. Pertinent data and facts will be reviewed to identify and solve issues and mitigate risks, prioritize your work load and work on ad hoc projects as assigned.
Primary Responsibilities:
  • Manage STARS reporting projects with year-round monitoring and annual required reporting. Supports STARS,HEDIS and related metric reporting where applicable
  • Provide subject matter expertise in areas including project scope definition, risk identification, project methodology, resource allocation, facilitation, and other areas of expertise based on established project management techniques
  • Supporting Health Plans as Subject Matter Expert of STARS and  HEDIS Technical Specifications
  • Work with Health Plans and vendors to review their programs and processes and develop data collection strategies, reports and outcomes. Reviews data systems related to reporting
  • Coordinate with IT group the set-up of STARS measurement for market level reporting. This includes assessment of code mapping, provider mapping, billing systems, member benefits and payment mechanisms; as well as providing analysis of impact on performance scores based on STARS programs and criteria
  • Perform data support and evaluation of performance. Extracting, manipulating, and interpreting data from STARS program repository. Supporting the evaluation and monitoring of State specific QM Metrics
  • Identifying and implementing opportunities to improve rates or efficiency of data collection / Identifying and reviewing claims data. Identifying alternative sources for administrative data
  • Performing data completeness evaluations and ad hoc QM data studies
  • Make presentations to management on project updates, project cycle, and expected results
  • Ensure projects are completed on time and in scope      

Required Qualifications:

  • BA / BS degree in Business, Healthcare Administration or other related field and/or equivalent education and experience
  • 5+ years’ experience working in a healthcare environment
  • 5+ years of project management experience
  • 5+ years’ experience in tracking, planning projects, working with large data sets and making data-driven analytical decisions
  • Intermediate level of proficiency with Excel and PowerPoint

Preferred Qualifications:

  • Intermediate level of proficiency with Access
  • 2+ years of STARS or similar program  experience
  • Experience acting as a liaison between business and technical teams
  • UnitedHealth Group experience
  • Community & State and or Medicare & Retirement experience preferred
  • Six Sigma / Lean certification
  • PMP certification  
  • Demonstrated ability to communicate ideas clearly and concisely
  • Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities 

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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: Sr. Business Analyst, Community & State, Greensboro, NC, North Carolina, Business, Healthcare Administration

Job Details

  • Contest Number751060
  • Job TitleSr. Business Analyst - Community & State - Greensboro, NC
  • Job FamilyBusiness Operations
  • Business SegmentCommunity and State

Job Location Information

  • Greensboro, NC
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • 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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