Job description


  • Entry level
  • No Education
  • Salary to negotiate
  • Franklin


Position Description

Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration, and opportunity and this is what you get: industry-leading health care services at a company that's improving the lives of millions.
As the Senior Business Analyst, you will design and develop reports and analyze data to measure clinical outcomes, network performance, and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. As the Consultant, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. Your analyses will be used to create viable, real-world solutions in a complex health care landscape. The work is as challenging as it is rewarding. You'll open doors to new opportunities. This is where bold people with big ideas are writing the next chapter in health care. Join us. There's never been a better time to do your life's best work.(sm)
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Interpret and analyze claims and membership data 
Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
Create and update automated processes within client databases
Analyze reporting tools utilized by the internal customer groups
Logical, detail oriented thought process with the ability to breakdown a complex problem into individual root causes
Ability to identify payment errors regardless of claim system by reviewing data and possessing claims coding experience
Ability to identify and refine criteria to successfully increase efficiency of algorithm logic
Complete business analysis on new analytic opportunities that may include proof of concept, functional testing, determination of yield, time to complete, and financial impact
Explore potential trends identified by matrix business partners
Generate functional business requirements used for automation of processes, analytic development, strategic reporting, and system navigation (SOPs, P&Ps, BRDs, etc.)
Develop training documentation diagramming manual processes
Execution of standalone production processes
Triage anomalies observed with production processes
Research, identify, and document potential areas for medical cost improvements and alternative pricing strategies with government and commercial payers

Required Qualifications:
Bachelor's degree or equivalent work experience
3+ years of work experience in a corporate setting
1+ year(s) of health care experience working with claims data and medical codes
Intermediate level of proficiency in performing data analytics
Intermediate level of proficiency working with MS Excel, including formulas, calculations, charts, graphs, etc.
Preferred Qualifications:
NAIC Guidelines knowledge
2 + years of experience in Medicare reimbursement methodology
2+ years of Coordination of Benefits auditing experience
Beginner level of proficiency with SQL and/or other statistical programs (able to read and write simple statements)
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)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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

About the company

Our mission is to help people live healthier lives and to help make the health system work better for everyone.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 85 million people worldwide.

Our biggest point of differentiation is our people - and the collective talent, energy, intelligence and drive our force of 188,000 individuals around the world bring to our mission every single day. So, how do we do it? With our every action, interaction and intention that demonstrates the five fundamental values that guide everything we do:

• Integrity
• Compassion
• Relationships
• Innovation
• Performance

Companies in this sector

Hives where you can find this job offer