Senior Business Process Analyst - Remote | Minnetonka, Minnesota | Remote

Quality Reporting Operations Team MemberAt UnitedHealthcare, 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.Our Quality Reporting Operations team is vital to our success and driving the future growth of UnitedHealth Group. Success in these careers relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone.You'll enjoy the flexibility to work telecommute 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:Facilitate, oversee and monitor on-going business processes to support HEDIS® data reporting Monitor compliance against relevant process requirements (e.g., turnaround time, accuracy)Evaluate processes and outcomes against benchmarks and metrics and identify potential business impacts of current stateEnsure all business requirements are metDemonstrate understanding of relevant organizations' operations, products and applications, strategies, processes, and/or business priorities to build effective solutions including development of project plans (e.g., communication plans; implementation steps) to support operations using relevant tools and databases Submission of the NCQA Health plan Roadmap General Information, Appendix and AttestationSubmission of the NCQA Healthcare Organization Questionnaire (HOQ)Complete admin and hybrid measure benchmarking and rate review to resolve all CHCA (Auditor) rate outlier concerns throughout the HEDIS® project (Initial, Refresh, Final) on complex projectsPerform SDS, administrative refresh data loads and vendor medical record event data loads to the hybrid project and update ratesPerform all MRR project build steps, including QA, to ensure each hybrid MRR project is set up according to business requirementsCoordinate with medical record vendors on file loads and resolving technical project issuesConfirmation of all hybrid exclusions entered into HEDIS® software, coordinating clinical review when necessaryComplete all HEDIS® software upgrade steps as requiredCreate and validate all final hybrid frozen counts and deliver to CHCAComplete all final hybrid project close steps, including validation of all exclusions and QA of all final data and ratesComplete all final admin and hybrid project processingCreation of IDSS exports and submission to NCQACreation of PLD exports and submission to CHCA and/or CMSSubmission of State required reporting if applicableCoordinate efforts with the LOB Operations team to ensure all business requirements and deliverables are metMay also assist in supporting chase status updates, chase activations, query exports and special request data analysis or validationMonitor and analyze business process information (e.g., metrics; analytics) to identify key issues, trends, and potential root causes (e.g., training issues; lack of understanding by user community) that point to improvement opportunities Participate in analysis of project outcomes to generate data driven recommendations for process improvementLead and participate in workgroups to implement process improvement and/or in preparation to meet business requirementsParticipate in HEDIS® software system testing efforts to ensure project preparednessUse a process driven approach to identify root cause and process improvement opportunitiesDemonstrate and remain current in understanding of relevant regulations and systems Complete all required training for job role and stay current on all HEDIS® technical specifications and software systemsDevelop proficiency in HEDIS® software tools and HEDIS® and other required quality metric reporting specificationsGeneral knowledge of HEDIS® impacts for each LOB, i.e. Accreditation, STARs, FEHB, State, etc.Summarize and communicate proposed solutions with the appropriate audiences Resolve all CHCA (Auditor) Issue Log concerns for projects assignedCommunicate potential impacts and risks associated with implementing proposed solutions to business partners and relevant stakeholders Timely escalation of all issues and barriers to Manager, QOI Projects (MQP)Assesses and interprets customer needs and requirementsIdentifies solutions to non-standard requests and problemsSolves moderately complex problems and/or conducts moderately complex analysesWorks with minimal guidance; seeks guidance on only the most complex tasksTranslates concepts into practiceProvides explanations and information to others on difficult issuesCoaches, provides feedback, and guides othersActs as a resource for others with less experienceYou'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:High School Diploma/GED3+ years of experience in analysis and reporting3+ years of experience interpreting and analyzing large amounts of data from multiple sources2+ years of HEDIS or CMS stars experience2+ years of healthcare experienceIntermediate level of proficiency in MS ExcelPreferred Qualifications:Experience creating reportsProficient in use of certified HEDIS® softwareAdvanced proficiency in MS ExcelSoft Skills:Proven excellent communication, time/project management, problem solving, organizational, and analytical skillsDemonstrated ability to manage and prioritize deliverablesCompetencies:Integrity Value: Act Ethically Comply with Applicable Laws, Regulations and PoliciesDemonstrate IntegrityCompassion Value: Focus on Customers Identify and Exceed Customer ExpectationsImprove the Customer ExperienceRelationships Value: Act as a Team PlayerCollaborate with Others Demonstrate Diversity AwarenessLearn and DevelopRelationships Value: Communicate Effectively Influence OthersListen ActivelySpeak and Write ClearlyInnovation Value: Support Change and Innovation Contribute Innovative IdeasWork Effectively in a Changing EnvironmentPerformance Value: Make Fact-Based Decisions Apply Business KnowledgeUse Sound JudgementPerformance Value: Deliver Quality Results Drive for ResultsManage Time EffectivelyProduce High-Quality Work*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits