Sr. Data Analyst - HEDIS Quality Measures at UnitedHealth Group
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Sr. Data Analyst - HEDIS Quality Measures
Requisition number: 2361050 Job category: Business & Data Analytics Primary location: Detroit, MI Date posted: 05/27/2026 Overtime status: Exempt Travel: No
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Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
Step into a high-impact Sr. Data Analyst - HEDIS Quality Measures role where data drives better health outcomes. In this position, you will serve as a key subject matter expert supporting dual Medicaid and Medicare programs, bringing deep knowledge of how these programs operate and the data that powers them. You will lead the generation and analysis of quality measure data, translating insights into actionable improvements across initiatives. Working closely with QIPD and Optum/DTMB partners, you will help coordinate efforts and establish sustainable, scalable processes that support ongoing program success. This is a dynamic, collaborative opportunity to apply your consultative expertise and make a meaningful impact on quality and performance across complex healthcare programs.
You"ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
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:
5+ years of experience with Medicaid data, including the use of this data in generating quality measure results
Eligibility and Enrollment Data - experience and familiarity with eligibility and enrollment data to identify dual populations of interest
Claim Data - familiarity with Medicaid claims and encounters data; experience analyzing and understanding this data
Medical claims and encounters
Dental claims and encounters
LTSS claims and encounters
5+ years of experience and familiarity with Medicare data, including the use of this data in generating quality measure results for the dual Medicaid/Medicare population
Eligibility and Enrollment Data - experience and familiarity with eligibility and enrollment data to identify dual populations of interest
Claim Data - familiarity with Medicare claims and encounters data; experience analyzing and understanding this data
Medical claims and encounters
Pharmacy claims and encounters
5+ years of experience using SQL
5+ years of experience working with technical developers, end users/customers to strategize solutions to align with business requirements
3+ years of experience in Generation of Quality Measures - familiarity with quality measure specifications, including Medicare-specific measures utilized by dual populations
Ideal candidate would have experience in custom-coding quality measures, as well as utilizing commercial products to generate results
3+ years of experience facilitating business requirements gathering, technical documentation, test plan creation
3+ years of experience with all phases of SDLC
Preferred Qualifications:
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.
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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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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The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-check cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks.
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UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.
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