Data Analyst – Implant and High-Cost Drug Audit Team – Remote

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.

 

We are seeking a Data Analyst to help support operations for our growing implant and high-cost drug audit business. Come join a talented team of data analysts, clinical auditors, and support staff who are helping to make healthcare more affordable! In this position, you will play a key role in supporting audit reviews through various parts of their lifecycle by assisting clinical staff, communicating with internal and external stakeholders, interacting with client systems, writing SQL code, researching contracts, and repricing claims.  

 

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:

• Validate claims against various factors to prepare them for audit scheduling
• Reprice claims and load audit results into client systems
• Prepare claims for offset and handle collection and appeal questions
• Review contracts for audit opportunities and update contract details in our database
• Assist clinical and support staff with claim-related questions
• Use existing SQL code and write custom SQL code to answer questions, produce reports, and move claims through the audit lifecycle
• Produce reports with SQL and Excel for internal and external stakeholders

 

Qualified candidates for this position will be expected to demonstrate:

• Accuracy and attention to detail
• Excitement about working with a team of other analysts, growing as a coder, and going the extra mile to understand and solve problems

 

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 or equivalent
• 2+ years of experience in Data Analysis
• 2+ years of experience with SQL (e.g. queries, joins, group bys, etc.)
• Demonstrated intermediate level ability with Excel (e.g. formulas, sorts, VLOOKUP, etc.)

 

Preferred Qualifications:

• 2+ years of experience in a healthcare or health insurance setting with knowledge of HIPAA requirements
• Contract and/or regulatory experience
• Experience using proprietary client systems
• Experience working on large data sets
• Proven effective communicator with good interpersonal and communication 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 salary for this role will range from $60,200 to $107,400 annually 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.