UnitedHealth Group
Program Integrity Business Analyst – Remote
UnitedHealth Group, Nashville, Tennessee, United States, 37247
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start
Caring. Connecting. Growing together.
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
Works collaboratively with business and support leads, and subject matter experts (SMEs), to map and document current or anticipated processes, project plans, and/or issue logs
Responsible for documentation management of assigned processes, which may include medical records, billing records, healthcare claim data, operations documentation, and/or business unit policies and procedures
Analyzes and interprets data to identify trends, patterns and opportunities for the business and clients
Performs data validation and quality review
Problem solves, both in the context of balancing multiple priorities to ensure deadlines are met, and in researching conflicting and/or inaccurate data to propose solutions
Communicates analysis including trends and opportunities to clients / business in writing and verbally
Understands and anticipates customer needs and works proactively to meet them
Creates, produces, and manages daily, weekly, monthly, quarterly, and annual reports
Performs routine or structured work, in collaboration with Operations Manager(s)
Assists in implementation initiatives to ensure project deliverables and milestones are met
Provides explanations and interpretations within area of expertise
Exercises problem solving skills to support deliverable timelines
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
High School Diploma/GED
3+ years of experience in data analysis of root cause analysis and reporting
2+ years of documenting business process or job aid development
Proven excellent verbal and written communication skills
Proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
Ability to work Monday – Friday, 08:00AM – 05:00PM EST
18 years or older
Preferred Qualifications
4+ years of business experience
Experience gathering requirements from the client/business and documenting
Experience with health plans, healthcare claims, or clinical operations experience
Familiarity with medical billing and coding terminology
Intermediate + level Excel skills
*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 $16.00 to $25.05 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.
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Caring. Connecting. Growing together.
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
Works collaboratively with business and support leads, and subject matter experts (SMEs), to map and document current or anticipated processes, project plans, and/or issue logs
Responsible for documentation management of assigned processes, which may include medical records, billing records, healthcare claim data, operations documentation, and/or business unit policies and procedures
Analyzes and interprets data to identify trends, patterns and opportunities for the business and clients
Performs data validation and quality review
Problem solves, both in the context of balancing multiple priorities to ensure deadlines are met, and in researching conflicting and/or inaccurate data to propose solutions
Communicates analysis including trends and opportunities to clients / business in writing and verbally
Understands and anticipates customer needs and works proactively to meet them
Creates, produces, and manages daily, weekly, monthly, quarterly, and annual reports
Performs routine or structured work, in collaboration with Operations Manager(s)
Assists in implementation initiatives to ensure project deliverables and milestones are met
Provides explanations and interpretations within area of expertise
Exercises problem solving skills to support deliverable timelines
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
High School Diploma/GED
3+ years of experience in data analysis of root cause analysis and reporting
2+ years of documenting business process or job aid development
Proven excellent verbal and written communication skills
Proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
Ability to work Monday – Friday, 08:00AM – 05:00PM EST
18 years or older
Preferred Qualifications
4+ years of business experience
Experience gathering requirements from the client/business and documenting
Experience with health plans, healthcare claims, or clinical operations experience
Familiarity with medical billing and coding terminology
Intermediate + level Excel skills
*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 $16.00 to $25.05 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.
#J-18808-Ljbffr