Medicare STARS Reporting Analyst

Requisition Number: 2370909
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
OptumRx is seeking a skilled Business Analyst to support our Star reporting strategy, with a focus on Part D measures. In this role, you will be responsible for delivering advanced analytics, reporting, and performance measurements that support Medicare Part D Star Ratings improvement initiatives. This role transforms complex healthcare data into actionable insights that help identify trends, evaluate program effectiveness, and drive data-informed strategies to improve Star Ratings outcomes.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:

• Support Stars reporting and analytics for Medicare clients, including recurring reporting deliverables and ad hoc data requests
• Collaborate with cross-functional teams to define business needs and document functional and/or technical requirements
• Perform detailed analysis of Stars performance data to identify trends, gaps, and key drivers to make informed data-driven decisions
• Identify opportunities to streamline, automate, and improve Stars reporting and analytics processes
• Translate raw data into clear, concise visualizations using BI tools for both technical and non-technical audiences
• Document reporting processes, data sources, and analytical methodologies to support scalability and knowledge transfer
• Analyze and interpret CMS technical manuals, regulatory guidance, and specification updates

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 relevant work experience in analytics, data science, statistics, or another related field

• 3+ years of Medicare, managed care, PBM or health plan experience
• 1+ years of experience presenting to internal and external stakeholders

• Advanced level of proficiency with Excel (formulas, VLOOKUP, Pivot Tables, Power Query etc.)

• Advanced level of proficiency with Power BI, Tableau, or other data visualization software
• Advanced level of proficiency in querying databases (SQL) for extracting and analyzing large datasets

Preferred Qualifications:

• Experience in a client-facing role

• Experience working with the Part D Medicare Star Rating Program

• Innovative mindset to enhance the Stars reporting product

*All Telecommuters 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.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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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