Associate Business Analyst

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

Here’s the thing about challenges. They provide limitless opportunities for greatness. And what we have in mind for you is big. At Optum, part of the UnitedHealth Group family of businesses, we’re changing the future of health care and we have the expertise, advanced technology, and global resources to make it happen.

As a Business Analyst, you’ll work with the brightest minds in the business and find yourself digging deep to find the solutions to help people live healthier lives. You’ll be responsible for analyzing, reviewing, and ensuring quality reporting on regular operational reporting in order to communicate data for business planning to impact the health care system.  Candidates for this role will be curious, logical and analytical thinkers.

Primary Responsibilities:

• Support short- and long-term operational/strategic business activities through analysis
• Design, recommend and implement business solutions through research and analysis of data and business processes
• Sound knowledge on developing process maps, BRD’s and other documentation required such as prototype to build a solution
• Collaboration and engagements with the other support functions like Operational Excellence, RPA, OGA automation team, IT and other cross functional teams
• Perform analysis on defect trends to identify the root cause
• Dashboards – adapting and implementing new reporting standard such as Tableau, Power BI et., to provide automated real time reporting solutions
• Employee should have experience working with US leaders and understanding their asks in detail
• Audit paid claims data to identify overpayment particularly related to contracts and documentation requirements within medical records
• Investigate and identify the overpayments on all claim types to generate medical cost savings
• Identify potential overpayment identification concepts for prepay and post pay businesses across the payment integrity
• Create and maintain dashboards to accurately represent the state of Quality, Coaching, and Key Operational Performance metrics
• Ability to cater ADHOC reporting and analysis requests
• Ability to independently gather criteria for data analysis basis leadership requirements
• Examine, assess, and document business operations and procedures to ensure operational efficiency and excellence
• Employee should be innovative and have ability to solve business problems
• Use pertinent data and facts to ideate, identify and solve a range of problems within any area in Payment Integrity
• Ability to communicate the outcome of this research in a manner suitable for the intended audience
• Ability to work with less structured, more complex issues
• Team player with the ability to collaborate across diverse and matrixed teams
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• 3+ years of experience in problem solving through innovation & Ideation
• 2+ years as SME / Domain Expert / Quality Auditor / Training roles
• Experience of managing & implementing at least 2- 3 projects end to end in last 24 months
• Ability to apply analytical, technical skills/knowledge, and professional judgement to appropriately resolve issues
• Ability to work independently and make sound decisions in a fast-paced environment
• Ability to acquire knowledge and share with peers
• Ability to work with cross geographical teams

Preferred Qualifications:

• 2+ years of data visualization & analysis experience using one or more applications like PowerBI or Tableau
• MS Excel advanced knowledge

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: Optum is an Equal Employment Opportunity 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.

Optum is a drug-free workplace. © 2024 Optum Global Solutions (Philippines) Inc. All rights reserved.