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Business Analysts - Payment Integrity - Telecommute

Company: UnitedHealth Group
Location: Portland
Posted on: November 22, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)The Business Analyst will be responsible for collecting and using data to quantify the impact of potential payment integrity solutions. Daily tasks include accessing data from multiple adjudication platforms and building models to forecast incremental value. This individual will become immersed within specific knowledge areas to be able to perform a variety of tasks such as gathering requirements, executing on action plans and project plans, identifying risks, coordinating testing ahead of launches, and partnering with training to develop key resources for staff. To be successful in this role, the Business Analyst must be willing to think of the end user, simplify key messages, stay organized to manage multiple priorities, and bring a growth mindset to the work.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Source and analyze data across multiple claims platforms to quantify savings potential
  • Gather data and requirements to map out process flows, quick reference guides, and other tools useful for the business and end users to be successful manage payment integrity solutions
  • Investigate escalated issues and recommend timely solutions through critical thinking and analysis
  • Identify the business impact of system/application changes, using appropriate tools and identifying capability gaps between current state and desired state
  • Participate in reviews of conceptual designs and provide appropriate guidance/consulting to help ensure they satisfy all documented requirements
  • Respond quickly to and effectively manage priorities for project requests, deliverables and deadlines
  • Be flexible and work comfortably in a dynamic setting
  • Demonstrate excellent interpersonal skills with all levels of staff and leadership
  • Work both independently and as part of a team to complete objectives
  • Provide explanation and interpretation within area(s) of expertise
  • Use pertinent data and facts to identify and solve a range of problems within area(s) of expertise
  • Communicate effectively with all level of staff and leadership ensuring messages appropriately tailored to audience whether delivered verbally or in written format
  • Provide excellent internal service to other teams
  • Ensure all project requirements are clearly and comprehensively documented, understood and support traceability with reviews with stakeholders to obtain approval/sign off
  • Translate problems/issues identified during the testing/piloting process and engage the appropriate stakeholders to help identify impact and potential solutionsYou'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:
    • Bachelor's degree or equivalent experience
    • 1+ years of experience with demonstrated critical thinking and navigating ambiguity to deliver quality results
    • 1+ years of experience with project methodology (requirements, design, development, test and implementation)
    • 1+ years of experience managing multiple priorities and supporting complex projects
    • Proficiency with Microsoft Word, Excel, PowerPoint, Outlook
    • Manage time effectively while meeting expectations of stakeholders and business needsPreferred Qualifications:
      • 2+ years of experience in the health care industry, in auditing, claims processing, payment integrity, claims configuration
      • 2+ years of experience conducting or managing comprehensive research in business practices and performance
      • 2+ years of experience in document creation or visualization experience
      • 1+ years of experience using claims platforms such as Facets, IDX, Xcelys, etc.
      • Experience with Payment Integrity suite of programs
      • Ability to influence with and without direct management/authority
      • Demonstrated ability to support innovation and work in a changing environment
      • Experience launching new healthcare initiatives/ plan
      • Solid analytical/statistical skills used in evaluating and analyzing data
      • Excellent verbal and written communication skills
      • Excellent customer/consultant relationship and collaboration skills that influence successful outcomesTo protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $25.63 to $45.72. The hourly range for Connecticut / Nevada residents is $28.27 to $50.29. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter PolicyDiversity 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.Job Keywords: Business Analysts, Business Analysis, Payment Integrity, Auditing, Claims Processing, Claims Configuration, Telecommute, Telecommuter

Keywords: UnitedHealth Group, Portland , Business Analysts - Payment Integrity - Telecommute, Other , Portland, Oregon

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