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. The Optum Health National Risk Adjustment Healthcare Economics Team leads enterprise-wide risk adjustment analytics and strategy, with a primary focus on Medicare Advantage risk modeling and revenue forecasting. Our work spans in year performance measurement, development of leading indicators tied to risk adjustment outcomes, standardization of forecasting processes, and synthesis of insights for internal stakeholders and executive leadership. We serve as trusted analytical partners to finance, operations, accounting, and clinical leaders—helping identify opportunities, forecast risk scores and revenue, and interpret complex risk adjustment dynamics. If you are enthusiastic about risk adjustment and thrive in a data-driven environment, this is the place to make an impact. As a Director and thought leader in Risk Adjustment, you will guide key strategic initiatives related to Medicare Advantage data, reporting, and analytic innovation. You will collaborate with senior leadership, technical teams, and subject matter experts to shape processes, elevate analytic rigor, and ensure insights are accurate, actionable, and aligned to enterprise priorities. Success in this role requires deep expertise with CMS Medicare Advantage payment models, as well as advanced proficiency accessing, structuring, and analyzing large datasets using SQL, SAS, or similar analytical tools. 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: - Advise a highly skilled technical team that analyzes data to drive risk adjustment analytics primarily for the Medicare Advantage population - Partner with business stakeholders to understand analytical needs, shape strategy, and oversee execution of analytics, reporting, and solution development - Provide clear, data driven insights to national and regional leaders on performance trends, opportunities, and improvement priorities - Guide the development and adoption of best in class processes, tools, and capabilities to support data reconciliation, minimize data leakage, and risk adjustment insights - Oversee creation of concise, executive ready summaries of analytical findings across multiple channels (presentations, dashboards, email updates, and verbal briefings) - Educate stakeholders of various knowledge levels on the topic of Risk Adjustment from various vantage points—the clinical, operational, and financial - Direct the operationalization of scalable reporting and flexible analytic infrastructure to support evolving KPIs and business growth - Leverage enterprise-wide capabilities to support business objectives and deliver integrated solutions - Provide mentorship, technical guidance, and development support to junior analysts and team members 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: - 7+ years of healthcare analytics experience focused on risk adjustment, including 3+ years in a leadership or strategic role - Experience with CMS Medicare Advantage data files (MMR, MOR, MAO 004) supporting forecasting, reconciliation, or program performance analysis - Proficiency in SQL, Snowflake, Python, or similar tools for large-scale data management - Expert-level understanding of CMS Risk Adjustment models and their application to revenue forecasting and analytics - Advanced analytic skills including data analysis, manipulation, extraction, and reporting - Demonstrated ability to lead complex analytics initiatives and collaborate across cross functional teams Preferred Qualifications: - Experience with advanced forecasting methodologies in a healthcare environment - Broader familiarity with CMS regulations and specifications beyond Medicare Advantage risk adjustment - Skilled in project management and documentation practices - Experience supporting finance or revenue-focused teams - Experience in predictive modeling, advanced data manipulation, and complex reporting - Ability to synthesize analysis into actionable, visually compelling insights - Experience measuring ROI and evaluating the impact of operational programs - Excellent communication skills with experience presenting technical concepts to executive audiences *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 hourly pay for this role will range from $64.71 to $110.96 per hour 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.

Become a part of our caring community and help us put health first The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Data and Reporting Professional for data and root cause analytics and resolution to support Network Adequacy requirements using established performance metrics and working with the internal teams to gather and track associated reporting. Evaluate metrics for early identification of problems and areas for process improvement. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.The Senior Data and Reporting Professional for data and root cause analytics and resolution to support Network Adequacy requirements using established performance metrics and interfacing with the internal teams to gather and track associated reporting. Evaluate metrics for early identification of problems and areas for process improvement. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Use your skills to make an impact Required Qualifications - Bachelor's degree - 5 or more years of technical experience in data reporting - Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards - Experience with tools such as Power BI and Qlik for creating data visualizations - Advanced proficiency in SQL, SAS and other data systems - Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data - Proficiency in verbal and written communication to senior and executive leadership - Strong organizational skills and ability to manage multiple or competing priorities - Strong analytical and problem solving skills - Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications - Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field - Experience in Healthcare data management, with an understanding of Louisiana Medicaid - Advanced Microsoft Access skills including ability to link to external data sources, pass-through queries, data structure and relationship design. - Experience in a system analytics and data warehousing environment Additional Information WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: - Health benefits effective day 1 - Paid time off, holidays, volunteer time and jury duty pay - Recognition pay - 401(k) retirement savings plan with employer match - Tuition assistance - Scholarships for eligible dependents - Parental and caregiver leave - Employee charity matching program - Network Resource Groups (NRGs) - Career development opportunities HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Additional Information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $73,400 - $100,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-10-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

• Partner directly with customers to understand their revenue goals, challenges, and open questions. • Use HockeyStack's platform to analyze GTM and marketing data, delivering clear recommendations that drive action. • Translate complex metrics into straightforward insights for non-technical stakeholders. • Support Customer Success Managers as a dedicated data partner, strengthening the strategic guidance we deliver to clients. • Identify trends and patterns across marketing and sales data to help customers prioritize where to focus. • Collaborate with internal teams — Product, Engineering, and CS — to improve the customer experience and inform product development.

• Partner with stakeholders to define the problem, success metrics, and hypotheses; propose experiments and measure impact. • Build & maintain dashboards in Looker; ensure correctness of data, clarity, usability, and decision support. • Analyze process/product/platform performance (funnels, conversion, pricing effects) to improve revenue, margin, and quality. • Data requirements & QA: specify data needs, validate data quality, and collaborate with DWH on marts and metrics. • AI support: prepare datasets, support model evaluation, and help productize ML features; may contribute to ML projects. • Required ways of working: start with “why,” simplify, and treat analytics as a product. • Analytics: Track and analyze partner performance (capacity, claims, delay, fulfilment) to identify gaps and improve reliability and efficiency. • Partner Network Optimization: Design and monitor strategies for partner allocation, expansion, and order routing to balance supply and demand. • Forecasting: Build and maintain models to forecast partner capacity, fulfilment performance, and supply-related KPIs. • Operational Insights: Analyze process and lifecycle data to detect bottlenecks, improve throughput, and reduce costs or delays. • Dashboards & Data Products: Develop and maintain clear, actionable dashboards in Looker; ensure data quality and stakeholder adoption. • Experimentation & ML Support: Run A/B tests on operational changes; prepare datasets and support predictive models for supply optimization.