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.

 

 The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it’s reimbursed. Now, Optum invites you to help us build a more accurate and precise approach to claims adjudication. As part of our Recovery and Resolutions team, you’ll provide consultative support to our business units and external vendor organizations. You’ll handle requests, define business requirements and coordinate resolutions incorporating State and Federal regulations. Join us and build your career with an industry leader. 

 

 This is a challenging role with serious impact. You’ll be assisting, educating, problem-solving and resolving challenging situations to the best possible outcomes. You’ll need to understand and interpret clients’ needs and ensure service and delivery excellence supporting the Fraud, Waste, Abuse, and Error product suite. This involves working with a high complexity solution set and cross functional teams to proactively review, research and resolve highly escalated inquiries. 

 

 This position is full-time Monday-Friday (40 hours). 

 

 We offer on-the-job training. Training will be conducted virtually from your home. 

 

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

 

Primary Responsibilities:

• Define and document / communicate business requirements 
• Analyze scope and resolution of medium to large size Operations Management (OM) and development requests 
• Serve as a key resource on complex and / or critical issues and help develop innovative solutions 
• Perform complex conceptual analyses     
• Serve as a key resource on complex and / or critical issues and help develop innovative solutions 

 

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:

• 2+ years of experience working in Healthcare claims recovery 
• 2+ years of experience with analyzing and solving problems 
• Hospital Billing exposure  
• Demonstrated ability to lead and present at team meetings with Payors, Internal teams and the client hospital leaders
• Proficiency with using Microsoft Excel (data entry, sorting, filtering, pivot tables) 
• Proficiency with using Microsoft PowerPoint (create and edit presentations) 

 

Preferred Qualifications:

• 2+ years of experience with using claims platforms such as UNET, Pulse, NICE, Facets, Diamond, etc. 
• Understanding of medical coding methodologies 

 

*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 hourly pay for this role will range from $23.41 to $41.83 per hour 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.

 

 

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 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.

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