Senior Director, Delta Analytics and Risk Adjustment - Remote

Posted Yesterday
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Hiring Remotely in Pearland, TX, USA
In-Office or Remote
135K-231K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead central delta analytics and risk adjustment teams to develop and implement value-based care programs, cost-of-care scorecards, risk adjustment initiatives, and ROI analytics. Serve as a consultative partner to clinical dyads, drive operational change, ensure reporting and KPI development, and build a high-performing team to improve cost and clinical outcomes.
Summary Generated by Built In
Requisition Number: 2365274
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Kelsey-Seybold Managed Care Analytics exists to monitor and improve the financial performance of Kelsey-Seybold (KS) by providing actionable, data-driven insights to the organization. Within Managed Care Analytics, the Delta Analytics and Risk Adjustment team's primary focus is the development and implementation of care value programs and analytics to support strategic evolution of evidence-based medicine strategies.
The Senior Director will oversee a range of central operations and analytic teams in a dyad partnership supporting clinical services focused on medical expense drivers, inpatient performance, risk adjustment, and population health. The Director will be a "hands-on" leader who will build out expertise on the team, collaborate with internal and external stakeholders to develop cost of care scorecards, and own accountability for driving cost of care improvements. It requires an analytical and operationally focused executive experienced at providing consultative guidance and translating quantitative insights into operational change in a matrixed reporting environment.
You'll enjoy the flexibility to work remotely * 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:
  • Provides long-range planning and oversight of delta and risk adjustment-related operations to ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company
  • Operates in a consultant role to clinical dyads across the organization to support the operational execution of clinical outcomes and cost of care goals
  • Accountable for the development, production, and analysis of reports and data required to understand the key drivers of the relevant cost of care components and initiative impacts including:
  • Cost of care trend analytics and benchmarking
  • The execution and measurement of risk adjustment programs, including those related to member and provider engagement
  • Program analytics evaluating the ROI and impact of clinical programs/interventions
  • Scorecard development and KPI definitions
  • Build a highly effective team by ensuring adequate staffing is in place to meet enterprise needs, overseeing deployment of training and development activities, and establishing a culture of accountability to the team and enterprise

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:
  • 10+ years of experience in data analytics with depth in analytics, change management and strategic planning inclusive of:
  • 8+ years of experience supervising or managing teams and/or projects
  • Advanced understanding of value-based healthcare
  • Program analytics evaluating the ROI and impact of clinical programs/interventions
  • Scorecard development and KPI definitions
  • Cost of care trend analytics and benchmarking
  • Proficiency in Microsoft Excel and Power Point
  • Proven ability to effectively report data, analyze facts, & exercise sound judgment when making recommendations to members of the sr leadership team
  • Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines
  • Proven ability to motivate others & function as working manager
  • Proven accountability for the development, production, and analysis of reports and data required to understand the key drivers of the relevant cost of care components and initiative impacts including:
  • Proven ability to execute and measure risk adjustment programs, including those related to member and provider engagement
  • Ability to travel to clinic sites as needed

Preferred Qualifications:
  • Programming experience in SQL, SAS or similar application language
  • Familiarity with EPIC and Clarity reporting data warehouse
  • Consulting background
  • Solid VBC background
  • Proven ability to excel in a matrixed environment

*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 $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required

  • 10+ years of experience in data analytics with depth in analytics, change management and strategic planning
  • 8+ years of experience supervising or managing teams and/or projects
  • Advanced understanding of value-based healthcare
  • Program analytics evaluating the ROI and impact of clinical programs/interventions
  • Scorecard development and KPI definitions
  • Cost of care trend analytics and benchmarking
  • Proficiency in Microsoft Excel and PowerPoint
  • Proven ability to report data, analyze facts, and make recommendations to senior leadership
  • Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines
  • Proven ability to motivate others and function as a working manager
  • Proven accountability for development, production, and analysis of reports and data to understand cost drivers
  • Proven ability to execute and measure risk adjustment programs, including member and provider engagement
  • Ability to travel to clinic sites as needed
  • Programming experience in SQL, SAS or similar application language
  • Familiarity with EPIC and Clarity reporting data warehouse
  • Consulting background
  • Solid value-based care (VBC) background
  • Proven ability to excel in a matrixed environment

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Healthcare Strength Health coverage offers copay and HSA medical options with dental, vision, company‑paid life and disability, and free or low‑cost virtual visits. Feedback suggests the offering is comprehensive and competitive on paper.
  • Parental & Family Support Time off and family supports include PTO, eight paid holidays plus a floating day, six weeks paid parental leave, up to two weeks paid caregiver leave, Bright Horizons back‑up care, and adoption assistance up to $10,000. Feedback suggests these resources are meaningful for caregivers and family needs.
  • Retirement Support Savings programs include a 401(k) with employer match (after one year, vesting after two) and a 10%‑discount Employee Stock Purchase Plan. These programs bolster long‑term financial security when combined with other savings resources.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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