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Senior Data Investigator

4 months ago

Minnetonka, Minnesota, United States UnitedHealth Group Full time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As a Sr Data Investigator with us, you will monitor patterns of potential fraud, waste and/or abuse to ensure compliance and be closely involved in the investigation process. It will definitely be a whirlwind, but it will also be the place where you can help make the health system work better with the support and resources of a Fortune 6 leader.

If you call yourself a data guru, then you'll be perfect for this role. As you respond to inquiries, requests and actions, you'll need to be able to communicate research and data findings in a meaningful way.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Perform data analysis and generation activities for the fraud investigations team including data extracts, summaries, random sampling, and special projects
  • Prepare Healthcare claims data for investigative business needs and work with investigations teams to better understand the content of the data sets
  • Establish and implement standard policies, procedures processes and best practices across the company to promote compliance with applicable laws and contractual obligations
  • Support the collection of data for SIU (Special Investigations Unit) activities and generate routine regulatory and executive level reports for distribution
  • Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products, processes and technologies
  • Analyze and interpret data to identify trends, patterns and opportunities for the business and clients

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:

  • Associate's Degree (or higher)
  • 1+ years of experience in creating and using data modeling tools, spreadsheets, and information acquisition tools
  • Advanced level of proficiency within Excel (advanced formulas, pivot tables, macros, lists, statistical functions, etc.)
  • Intermediate level of proficiency with MS Office (Word, PowerPoint, and Outlook)

Preferred Qualifications:

  • Experience working in a government, legal, health care, managed care and/or health insurance environment in a regulatory, privacy or compliance role
  • Experience communicating complex information via phone conversations and emails to non-technical clients, external customers, internal customers and executives
  • Experience working independently and researching regulations
  • Industry Certification (CFE, AHFI, CPC)
  • SQL experience
  • SAS and/or SAS EG experience
  • VBA (visual basic for application) experience

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The salary range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $58,300 to $114,300 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO, #GREEN