Quality Project Analyst, HEDIS - Remote

Quality Project Analyst, HEDIS - Remote UnitedHealthcare invites qualified applicants to join its Quality Reporting Operations team. This role supports the collection, analysis, and reporting of HEDIS data, contributing directly to the company’s mission of improving health‑care quality for millions of people.

Key Responsibilities

• Facilitate, oversee, and monitor ongoing business processes to support HEDIS® data reporting, ensuring compliance with turnaround times and accuracy standards.
• Evaluate processes and outcomes against benchmarks, identify potential business impacts, and develop project plans (e.g., communication, implementation steps) using relevant tools and databases.
• Manage NCQA submissions (Health Plan Roadmap, HOQ), benchmark reviews, and rate outlier concerns across HEDIS® projects (initial, refresh, final).
• Coordinate data loads (SDS, vendor medical record events), perform QA of hybrid MRR projects, and update rates to meet business requirements.
• Ensure all hybrid exclusions are correctly entered into HEDIS® software, coordinate clinical reviews, and complete all upgrade and final freeze steps.
• Collaborate with vendors, LOB operations teams, and cross‑functional groups to resolve technical issues, improve processes, and implement solutions.
• Analyze metrics and analytics to identify root causes and propose data‑driven improvements, leading workgroups and participating in software testing efforts.
• Maintain current knowledge of relevant regulations, HEDIS® technical specifications, and industry impacts (e.g., accreditation, STARs, FEHB).
• Summarize and communicate proposed solutions, escalations, and risk impacts to stakeholders and managers.
• Assess customer needs, develop solutions for non‑standard requests, and coach colleagues as a resource.

Required Qualifications

• 3+ years of analysis and reporting experience.
• 2+ years of HEDIS or CMS stars experience.
• Ability to interpret and analyze large data sets from multiple sources.
• Healthcare industry experience.
• Intermediate proficiency in MS Excel.
• Excellent communication, time/project management, problem‑solving, organization, and analytical skills.
• Proven ability to manage and prioritize deliverables.

Preferred Qualifications

• Experience creating reports.
• Proficiency in certified HEDIS® software.
• Advanced proficiency in MS Excel.

Competencies

• Integrity – Act ethically and comply with laws, regulations, and policies.
• Compassion – Focus on customers, exceed expectations, and improve the customer experience.
• Relationships – Act as a team player, collaborate, demonstrate diversity awareness, and learn continuously.
• Communicate Effectively – Influence others, listen actively, and communicate clearly.
• Innovation – Support change, contribute innovative ideas, and work effectively in a changing environment.
• Performance & Quality Results – Make fact‑based decisions, apply business knowledge, use sound judgment, drive results, manage time, and produce high‑quality work.
• All remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits & Compensation Salary range: $71,200 – $127,200 annually. Comprehensive benefits include medical, dental, vision, equity stock purchase, 401(k) contributions, and incentive and recognition programs. Eligibility for benefits is subject to program requirements. Application Deadline This posting will remain active for at least two business days or until a sufficient candidate pool is assembled. The posting may close earlier if a large volume of applicants is received. Equal Employment Opportunity UnitedHealth Group is an equal‑employment‑opportunity employer under applicable law. 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. Additional Position Details Seniority Level: Mid‑Senior Employment Type: Full‑time Job Function: Quality Assurance Industry: Hospitals and Health Care Apply tot his job Apply To this Job