Claims Business Process Consultant Senior (External Audit Data / Reporting Analyst) – National Remote

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am – 6:00 pm EST with core business hours of 10:00 am – 1:00 pm EST. It may be necessary, given the business need, to work occasional weekends. 

We offer 8 – 16 weeks of paid on-the-job training. The hours of training will be aligned with your schedule.

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

 

Primary Responsibilities:

• Ensure compliance with all privacy and data security policies and requirements 
• Prepare data sets and reporting to UHC, audit firm and customer specifications 
• Cleanse, analyze and evaluate large complex data sets
• Write queries to filter and summarize large complex data sets
• Develop and maintain custom and adhoc reports
• Distribute data internally and externally in compliance with all data security policies and guidelines
• Support and collaborate with external audit stakeholders regarding data and reporting 
• Ensure the accuracy and integrity of audit data, records and reporting
• Serve as subject matter expert and central point of contact for audit data, systems, and reports
• Validate sample selections for processing
• Manage CQAT SAM uploads
• Manage remote system access and credentials for external audit firms
• Create and maintain detailed audit records and files

 

 

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 OR equivalent work experience 
• Must be 18 years of age OR older
• 2+ years of experience with writing queries and working with large complex data sets in Microsoft Access, Ultra Edit, SQL, Smartsheet, Wryke or Monday.com
• 2+ years of experience with writing queries and creating reports in Tableau, Power BI, SQL, Smartsheet, Wryke or Monday.com
• Highly proficient in the use of computers and commonly used applications such as Microsoft Office, including Microsoft Word (creating, editing, saving documents), Microsoft Excel (creating, editing, analyzing data sets, etc.), Microsoft PowerPoint (creating, editing, saving presentations), Microsoft Access (creating, editing, saving documents)
• Ability to work any 8-hour shift between the hours of 6:00 AM – 6:00 PM EST from Monday – Friday including the flexibility to work occasional weekends based on business need

 

 

 
Preferred Qualifications:

• Knowledge of UHG Data Use and Privacy Policies and security requirements
• Proficient using MS Excel pivot tables, visual basic and data analysis tools
• Ability to manage competing priorities, consistently meeting deadlines for tasks and deliverables
• Organizational, analytical, and problem-solving skills
• Oral and written communication skills
• Ability to provide effective technical support to internal and external customers

 

 

Telecommuting Requirements: 

• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy 
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

 

 

 

Soft Skills:

• Ability to manage competing priorities, consistently meeting deadlines for tasks and deliverables
• Organizational, analytical, and problem-solving skills
• Oral and written communication skills
• Analytical and problem-solving skills 
• Demonstrated ability to provide effective technical support to internal and external customers
• Foster positive relationships with internal and external customers
• Demonstrated ability to consistently prioritize competing demands to consistently meet deadlines for tasks and deliverables 

 

 

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