Surest™, a UnitedHealthcare Company, (formerly Bind) provides a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds—the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and help us design and deliver a cutting-edge health benefit that changes the face of health care.

We are seeking a Principal Data Analytics Consultant to join our growing team to support our evaluations of providers’ performance on cost, quality, and patient experience.

In this position, you will play a key role in enabling the Surest benefit plan by supporting the ongoing improvement and communication of Surest’s provider performance evaluations.  The Principal Data Consultant – Provider Performance will support the optimization of some of Surest’s key differentiating assets around evaluating providers and setting distinct member copays while collaborating with other areas across the organization that leverage the provider performance evaluations. This work will include analyzing provider network data, claims data and outputs from the Surest provider performance evaluation pipeline. This position will develop materials that support Surest work with external entities such as demonstrating Surest capabilities for regulators as a part of Surest fully-insured expansion and supporting claims audits for self-insured ASO clients.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities: 

• Design and implement analyses to understand the impact of Surest provider performance approaches on member behavior and plan costs
• Identify potential enhancements and optimizations to the current provider performance evaluation work that can improve the alignment of its outputs to business objectives and member needs
• Collaborate with Data Science and Dev teams to design and implement feature enhancements that realize those identified optimizations
• Support work around increasing Surest’s integration with the broader UnitedHealthcare organization regarding provider performance and network contracting
• Support the creation and delivery of dashboards, reporting and communication materials that articulate Surest’s provider performance evaluation work to providers and other stakeholders
• Support responding to custom analytic requests and questions from clients, providers and other internal or external stakeholders

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: 

• 6+ years of business or data analysis experience
• 3+ years working healthcare administrative data (e.g. claims, enrollment, provider directory)
• 3+ years working with relational databases using SQL or Python
• Intermediate level experience with Excel and developing financial modeling

Preferred Qualifications: 

• Experience with business intelligence tools (i.e. Looker, Tableau, Power BI)
• Experience with SQL and relational database pipelines and tools (e.g. Databricks and Ascend)
• Experience with Excel and developing business intelligence reporting to support strategy development
• Experience with delivering presentations to executive level personnel
• Knowledge and experience in a healthcare environment with HIPAA requirements
• Deep understanding of health care industry concepts (encounters, episodes, members, cost of care, benefit administration, etc.)
• Working knowledge of clinical data domains and code sets (CPT, ICD, DRG, etc.)
• Working knowledge of provider directory data
• Proximity to San Francisco (CA), Minneapolis (MN) or New York City (NY)

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we’re presented with an opportunity to make a difference on a scale we couldn’t imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you’ll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You’ll help write the next chapter in the history of health care. And you’ll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.(sm) 

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $101,200 to $184,000. 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 employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.   

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.