Business Analyst

1 month ago

Eden Prairie, Minnesota, United States UnitedHealth Group Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The health care system needs to evolve even further than it has, and it must do so at a lightning-fast pace. New models of care and networks of providers are emerging now to better serve patients and communities, and at UnitedHealth Group, we are playing a lead role. As a Senior Business Analyst within our Coordination of Benefits team, you will support the growth of our markets, membership, and COB opportunity through analysis and reporting. In return, you'll discover the impact, resources, backing, and opportunities that you'd expect from a Fortune 5 leader.

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

Primary Responsibilities:

  • Introduce prepay and post-pay analytics and processes to C&S and E&I Membership
  • Work with market leads to grow C&S and E&I membership
  • Lead in-house process design for premium adjustments (MSP, ESRD, Hospice) for existing M&R initiatives
  • Work with internal / external partners (claims, vendors, analytics, etc.) to align best practices
  • Analyze data sets and use Structured Problem-Solving techniques to root cause and solution
  • Create process design, documentation, and flow charts
  • Provide direction and training to representatives on process expectations
  • Production file preparation
  • Assist in design and testing of capability tools (database)

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 Coordination of Benefits experience
  • 2+ years ideation, process design and formal analysis
  • Proven knowledge of NAIC and Medicare guidelines
  • Experience with basic Microsoft Office (Excel, PowerPoint, Visio)

Preferred Qualifications:

  • 5+ years Community and State (C&S) experience
  • 5+ years Employer and Individual (E&I) experience
  • 5+ years Medicare and Retirement (M&R) experience
  • Proven knowledge and experience of OCSP, CSP, or Sierra Facets platform
  • Proven knowledge of Post Pay and Prepay claims practice

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.


California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. 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.



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

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