Analyzes and manages Medicare Advantage eligibility, utilization, and benefit data. The role validates data accuracy, supports vendor data exchanges, troubleshoots production issues, performs SQL-based ad hoc analysis, and ensures compliance with CMS and organizational standards. It collaborates with product owners, vendors, IT teams, and business stakeholders to design scalable data solutions, communicate findings, manage requirements, and drive projects to completion.
Requisition Number: 2386732
At 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.
The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subject matter expertise, data analytics, data delivery and stewardship, and production support for technical assets which deliver Medicare Advantage product and benefit data across the enterprise. Our focus is to create sustainable solutions that drive efficiencies in operations where Medicare Advantage product data is needed.
The Sr Product Data Analyst is a business-facing position that will specialize in managing eligibility and benefit programs, supporting vendors that administer supplemental Medicare Advantage benefits (such as fitness or transportation). Vendors and internal stakeholders consistently require data and ad-hoc analysis. This role ensures eligibility data is accurate, compliant with CMS regulations and UHG standards, and is delivered in accordance with established business requirements.
The position requires a solid analytical mindset and the ability to understand the business processes and data supported by MA Product, then apply that knowledge to ensure our data products provide a seamless member experience. The role will work closely with team members across UnitedHealth Group, including product owners, account managers, IT partners, and vendors.
If you reside within a commutable distance of either Minnetonka, MN or Fort Washington, PA, you will have the flexibility to work remotely* 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:
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay 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 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
At 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.
The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subject matter expertise, data analytics, data delivery and stewardship, and production support for technical assets which deliver Medicare Advantage product and benefit data across the enterprise. Our focus is to create sustainable solutions that drive efficiencies in operations where Medicare Advantage product data is needed.
The Sr Product Data Analyst is a business-facing position that will specialize in managing eligibility and benefit programs, supporting vendors that administer supplemental Medicare Advantage benefits (such as fitness or transportation). Vendors and internal stakeholders consistently require data and ad-hoc analysis. This role ensures eligibility data is accurate, compliant with CMS regulations and UHG standards, and is delivered in accordance with established business requirements.
The position requires a solid analytical mindset and the ability to understand the business processes and data supported by MA Product, then apply that knowledge to ensure our data products provide a seamless member experience. The role will work closely with team members across UnitedHealth Group, including product owners, account managers, IT partners, and vendors.
If you reside within a commutable distance of either Minnetonka, MN or Fort Washington, PA, you will have the flexibility to work remotely* 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:
- Collaborate with external vendors and internal stakeholders to design, implement, and support data solutions
- Investigate, troubleshoot, and work with technology teams to resolve data-related production issues impacting internal stakeholders and external partners
- Support implementation and ongoing management of data exchanges with external vendors and benefit administrators
- Validate, reconcile, and monitor eligibility, utilization, and benefit data to ensure the accuracy of downstream reporting and vendor data exchanges
- Establish a thorough understanding of the business (Medicare Product, Claims, Member eligibility) and collaborate with business subject matter experts (SMEs) to shape solutions, perform analyses, and interpret data
- Engage with leadership teams to support ad-hoc data analysis primarily in SQL Server and Snowflake and present findings
- Deliver high-quality data solutions that adhere to team standards, are scalable as the product grows, and are sustainable with minimal rework
- Demonstrate leadership by independently driving work to completion while effectively collaborating with team members and stakeholders
- Contribute to analysis, problem definition, requirements, and proposed solutions
- Maintain and expand technical expertise through continuing education, industry networking, and evaluation of emerging development tools and programming techniques
- Provide timely status updates and communicate risks, dependencies, and project progress to stakeholders
- Provide technical leadership by driving project teams toward established goals and promoting adherence to established design standards
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:
- 5+ years of experience developing complex SQL solutions with advanced or expert-level SQL proficiency
- 3+ years of experience with scripting or programming languages (Python preferred)
- 3+ years of data analysis and reporting experience
- 3+ years of experience supporting Medicare Advantage programs, with a solid understanding of the Medicare Advantage line of business
Preferred Qualifications:
- Experience creating or maintaining Python scripts for ad-hoc file manipulation
- Experience with cloud-based databases (Snowflake, Databricks)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay 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 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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