Business Data Operations Analyst, Medicaid Health Plan of Idaho – Remote in Idaho

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.

The Business Data Operations Analyst is responsible for conducting analysis to prevent and solve problems in the market. This role will partner closely with Health Plan leadership and operational leaders to identify trends, conduct gap analysis, identify root causes, and collaborate to remediate. The Business Analyst will use their solid business analysis skills to gather the necessary requirements for successful business changes and issue resolutions.  

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

 If you are located in Idaho, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

• Conducts analysis to reactively and proactively identify opportunities for member and provider satisfaction, regulatory adherence, and cost avoidance 
• Translates feedback from providers, regulators, and team members into the appropriate actionable criteria 
• Conducts research based off analytical findings to identify and remediate root cause(s)  
• Initiates and oversees claim projects and works with cross-functional team members and leaders through completion 
• Collaborates with technology stakeholders to communicate business and technical requirements 
• Gathers all information needed to define requirements and intended future state 
• Understands and communicates all project steps needed towards remediation 
• Informs operational leaders of identified gaps to enable coaching and gap closure 
• Serves as a liaison between the plan and various functional areas 
• Solves moderately complex problems and/or conducts moderately complex analyses 
• Works with minimal guidance; seeks guidance on only the most complex tasks 
• Tracks issues and resolutions to maintain documentation and to enable visibility 
• Defines and, at times, conducts testing or quality assurance plans for business changes 
• Collaborates with leadership to prioritize projects  
• Identifies and engages appropriate resources to complete projects  

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 hands-on operational experience, including experience with CSP Facets claims tools 
• 2+ years of business analysis experience with demonstrated ability to gather undefined or unclear requirements utilizing solid probing skills  
• Demonstrated experience using front-end reporting tools such as Orbit
• Proven excellent communication skills and ability to communicate complex concepts to a cross-functional audience 
• Demonstrated process improvement, workflow, benchmarking and / or evaluation of business processes 
• Demonstrated intermediate to advanced level of proficiency with Microsoft Office Suite (Excel, Word, PowerPoint)  
• Resident of Idaho

Preferred Qualifications: 

• Health plan experience  
• Medicaid and/or Medicare experience 
• Experience with medical claims technology  
• Demonstrated intermediate level of proficiency with Visio 
• SQL experience 

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

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 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.