Data Analyst (Healthcare Claims & Remittance) - Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

The Data Analyst owns the end-to-end preparation, validation, and quality assurance of institutional and professional healthcare claims and remittance data for providers and payers used in analytics and client deliverables. This role is accountable for data integrity for assigned clients, designs and executes advanced validation logic, resolves complex data issues, and serves as a primary analytics liaison with clients.

This position requires solid SQL expertise, deep familiarity with provider and payer healthcare data, the ability to work independently on complex data problems, and confidently communicate with both technical and non-technical stakeholders.

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

Primary Responsibilities:

Data Ownership & Intake

• Coordinate secure data transfers with client data contacts
• Own client data intake, processing, and readiness for downstream analytics
• Proactively identify risks, gaps or anomalies and recommend solutions
  

Advanced Data Validation & QA

• Design, write, and optimize SQL queries to validate data accuracy, completeness, and consistency
• Reconcile sophisticated discrepancies between client submissions, control totals and expected benchmarks
• Perform advanced volume, utilization, and trend-based reasonableness checks
• Establish repeatable validation patterns and contribute to data quality standards
  

Data Transformation & Modeling Support

• Independently reformat, map and normalize complex datasets to internal schemas across many products in support of multiple external stakeholders
• Apply deep understanding of data elements (e.g., ICD, CPT/HCPCS, DRGs, revenue codes, payer adjudication system processing)
• Support analytic use cases through accurate case and category mapping
  

Client & Stakeholder Engagement

• Serve as a primary point of contact for clients/data contacts on data-related issues
• Clearly explain technical data problems and solutions to non-technical stakeholders
• Partner with analytics and system teams to align data preparation with analytic needs
  

Process Improvement & Mentorship

• Maintain and enhance data reference tables and documentation
• Identify opportunities to improve data intake, validation, and QA processes
• Provide guidance and informal mentorship to junior analysts

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:

• 3+ years of experience in data analysis of healthcare claims data
• 2+ years of experience in SQL with the ability to perform complex table joins, aggregations, and validation logic
• Direct experience with healthcare claims, remittance, or payer data

Preferred Qualifications:

• Demonstrated familiarity with industry-standard code sets (ICD-10, CPT/HCPCS, DRGs)
• Proven ability to independently manage data workflows and resolve issues end-to-end
• Proven solid analytical reasoning and problem-solving skills
• Demonstrated ownership mindset and comfort working with minimal supervision
• Experience supporting multiple clients or projects concurrently

*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 $35.00 to $62.50 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.

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.