Data Analyst, Reporting Intelligence
Superworq · United States · 2 days ago
RemoteRemoteAnalystFull-time
About The Company Optum is a global organization dedicated to delivering healthcare services enhanced by technology, aiming to help millions of people live healthier lives. Our work focuses on improving health outcomes by connecting individuals with the care, pharmacy benefits, data, and resources they need to achieve their best health. At Optum, you will experience a culture driven by inclusion, collaboration with talented peers, comprehensive benefits, and opportunities for career growth. Join us to make a meaningful impact on the communities we serve as we advance health optimization on a global scale. Together, we care, connect, and grow. About The Role We are seeking a highly skilled and strategic Reporting Intelligence Principal Data Analyst to lead advanced analytics initiatives within our healthcare operations. This role is pivotal in designing and delivering data-driven insights that inform critical business decisions, enhance operational efficiency, and improve client outcomes. The ideal candidate will possess deep expertise in healthcare claims data, business intelligence tools, statistical analysis, and stakeholder engagement. As a Reporting Intelligence Principal Data Analyst, you will collaborate with cross-functional teams to define data requirements, develop analytical models, and present actionable insights to senior leadership. You will also mentor junior analysts and contribute to best practices in data governance, visualization, and reporting. This position offers the flexibility to work remotely from anywhere within the U.S., with in-office requirements for those based in Minneapolis or Washington, D.C. Qualifications 7+ years of experience in healthcare claims lifecycle (submission, processing, adjudication, payment)5+ years of experience auditing, billing, and/or coding claims5+ years of experience in the healthcare industry (Medicare, Medicaid, Commercial) with exposure to Payment Integrity3+ years of consultative experience with cross-functional collaboration3+ years of experience interpreting data sets and presenting proposals to stakeholders3+ years of project management experienceDeep understanding of the US Healthcare System, including claims data, CPT/ICD codes, and healthcare fraud/anomaly patternsExpertise in anomaly detection techniques including statistical methods, clustering, outlier detection, and machine learningProficiency in feature engineering from raw healthcare dataAdvanced SQL skills for querying, data manipulation, and performance optimizationProficiency in Python for data analysis, anomaly detection algorithms, and visualization libraries such as pandas, NumPy, scikit-learn, Altair, Matplotlib, and SeabornExperience with cloud platforms such as AWS, Azure, or GCPData visualization proficiency in Tableau and Power BIAdvanced Excel skills including pivot tables, formulas, and chartsWorking knowledge of CMS rules, billing codes, and related servicesStrong analytical mindset, critical thinking, and communication skillsProven ability to lead without authority in fast-paced environmentsPreferred: Coding certification (AAPC or AHIMA)Preferred: Experience in claims adjudication or revenue cycle managementPreferred: Familiarity with Spark, Databricks, Snowflake, Git/GitHub, and workflow automation tools such as Airflow Responsibilities Lead the development of enterprise reporting, dashboards, scorecards, and performance intelligence solutionsTranslate complex business needs into data requirements, KPIs, metrics, and scalable reporting frameworksEstablish and maintain consistent metric definitions, reporting methodologies, and data standards to ensure accuracy and alignmentAnalyze and reconcile multiple data sources to identify trends, variances, risks, opportunities, and key performance driversDeliver executive-level insights and recommendations that connect operational activity to measurable business outcomesManage end-to-end reporting and analytics initiatives utilizing SQL, SAS, Excel, Tableau, Power BI, and other BI toolsIdentify and implement opportunities to automate, streamline, and scale reporting processes, reducing manual effortServe as a subject matter expert in Reporting Intelligence, partnering across Internal Analytics, Operations, Finance, and Technology teams to influence strategic decisionsMentor junior analysts and contribute to the development of best practices in data governance, visualization, and reporting Benefits Comprehensive benefits package including health, dental, and vision coverageIncentive and recognition programsEquity stock purchase plan401(k) retirement savings plan with company contributionFlexible work arrangements including remote work optionsCareer development and growth opportunitiesSupportive and inclusive work environment Equal Opportunity UnitedHealth Group and its affiliated brands are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard, and respected. We are an Equal Employment Opportunity employer and consider qualified applicants without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other characteristic protected by applicable local, state, or federal laws, rules, or regulations. We uphold a drug-free workplace and require candidates to pass a drug test prior to employment.