Credentialing Data Analyst - Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Credentialing Data Analyst will be the technical reporting subject matter expert for OptumCare's credentialing platform and the OptumCare National Credentialing Center of Excellence. In this role the analyst will be responsible for gathering reporting requirements, building analysis using SQL and Tableau, and presenting analysis to line level onboarding and credentialling colleagues as well as to senior leadership. This position will be the lead for both process oriented and results focused analysis with the goal of providing insight to key performance indicators such as application turn time, application success and failure rate, exposure to past due recredentialing and licensing, staff productivity and other metrics as needed. Successful candidates will have past experience with provider credentialing and onboarding, the associated data sources and systems (NPPES, CAQH etc.) as well as an expert level SQL skillset and past experience building visualizations using Tableau or equivalent data visualization tools. This role will have a visible impact on the success of the OptumCare National Credentialing Center of Excellence and will be a key interface with both our current vendors and internal teams across OptumCare including Healthcare Economics, Finance, Marketing, and Revenue Cycle.

You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:
  • Independently build, validate, and socialize credentialing quality and operations analytics to support OptumCare's Credentialing Center of Excellence and local market credentialing teams
  • Create and optimize SQL queries from existing provider data management platform to build consumable analysis
  • Assist in maintaining a 'golden record' roster for all OptumCare providers
  • Provide adhoc analytical support to credentialing teams
  • Collaborate with accounting, finance, and healthcare economics to support the OptumCare businesses
  • Translate detailed analysis into an actionable executive summary
  • Performs all other related duties as assigned

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:
  • Bachelor's degree in computer science, business administration or related field (4+ additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
  • 3+ years of analytical work experience
  • Expert level SQL experience for business analysis skill set
    • DDL commands
    • Complex joins and nested queries
    • Common table expressions, pivot, unpivot, etc.
    • Ranking functions, aggregations, running totals
  • Tableau skillset or experience using other data visualization tools to present datasets e.g. Qlik, PowerBI, Spotfire, etc.
  • Ability to communicate summarized results to VP/SVP level leadership

Preferred Qualifications:
  • 3+ years of healthcare industry experience
  • Credentialing and provider data management experience
  • Experience with credentialing management software systems and processes

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Credentialing, SQL, DDL, Tableau, Qlik, PowerBI, Spotfire, Eden Prairie, MN, Minnesota, Phoenix, AZ, Arizona, Atlanta, GA, Georgia, Irvine, CA, California, Las Vegas, NV, Nevada, Portland, OR, Oregon, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote