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Sr. Clinical Quality Analyst - Eden Prairie, MN

UnitedHealth Group

Eden Prairie, MN
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Job Details

728151 Sr Clinical Quality Analyst Eden Prairie MN

Sr. Clinical Quality Analyst - Eden Prairie, MN (728151)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

We’re enhancing our health management products and creating new, innovative solutions for the market. Due to the increasing demand for quality measurement initiatives, we need a detail-oriented, highly motivated analyst with quality measurement expertise to add to our growing analyst group. This position will afford you the opportunity to work as part of a team to create and enhance products used for provider quality measurement. If you want to make a difference in key national healthcare initiatives, work with other expert quality measurement analysts, and enhance products that affect over 100 million people, please . We offer outstanding benefits and many opportunities to learn, grow and contribute!


Watch this video to learn more about Optum Careers


Primary Responsibilities:

  • Providing business analysis and interpretation of quality measure specifications to technical teams in the deployment of quality measures
  • Working within a team of other quality business analysts, technical engineers, and quality control analysts to ensure end-to-end production of accurate rules engine logic
  • Creating methodology solutions based on healthcare data
  • Participating in product testing, validation and documentation activities

Required Qualifications:

  • minimum 3 years of data analysis experience
  • Experience implementing aspects of national quality measures (through provider groups, payers, state/federal institutions), such as HEDIS, Medicare Stars, PQRS, Meaningful Use, State Medicaid programs. This experience could include quality improvement initiatives, reporting, EHR/Practice Management data analysis, etc.
  • Working knowledge of administrative claims data and medical coding systems (i.e. CPT, HCPCS, ICD-9, NDC)
  • Experience with project and/or product management and lifecycles
  • Strong attention to detail and accuracy
  • Excellent evaluative, analytical and problem-solving skills
  • Ability to understand complex requirements and derive solutions
  • Solid PC computer skills with proficiency in MS Office applications
  • Understanding of data inputs, outputs, relational database concepts

Preferred Qualifications:

  • Bachelor’s Degree
  • Experience writing queries in analytics tools such as SQL or Microsoft Access
  • Excellent written/oral communication and listening skills
  • ICD-9, CPT and HCPCS coding experience
  • Understanding of clinical taxonomies (SNOMED, LOINC, RxNORM, etc)
  • Knowledge of relational database structures

Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. 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: Clinical Quality Analyst, Data Analysis, CPT, HCPCS, ICD-9, NDC, HEDIS, Medicare Stars, PQRS, Eden Prairie, MN, Minnesota

Job Details

  • Contest Number728151
  • Job TitleSr. Clinical Quality Analyst - Eden Prairie, MN
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptum Technology

Job Location Information

  • Eden Prairie, MN
    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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