Manager, Revenues Assurance

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.

Positions in this family are related to the manipulation and analysis of data in support of a variety of analytic solutions.  Roles within the family work with vast amounts of data from multiple sources to provide predictive and prescriptive analytics to the enterprise.

Positions in this function conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. They support short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models. They also develop and implement effective/strategic business solutions through research and analysis of data and business processes.  *Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.

General Job Profile

• Manages and is accountable for professional employees and/or supervisors
• Impact of work is most often at the local level

Job Scope and Guidelines

• Sets team direction, resolves problems and provides guidance to members of own team
• May oversee work activities of other supervisors
• Adapts departmental plans and priorities to address business and operational challenges
• Influences or provides input to forecasting and planning activities
• Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)

Primary Responsibilities:

• BAS_Plan/Define Approach for Gathering Business Requirements
  • Participate in the definition of project roles to drive the gathering of detailed business, functional and non-functional requirements
  • Identify applicable technical and business stakeholders, using appropriate Stakeholder Analysis tools/approaches (e.g., RACI, SIPOC)
  • Define the approach and effort required for defining business requirements (i.e., business, functional and non-functional)
  • Define and update the project schedule to track/measure progress of the requirements-gathering process (e.g., status, milestones, tasks, deliverables)
  • Define approach for storing and updating business requirements (e.g., SharePoint, ADR, Rally, Quality Center)
  • Adhere to established project lifecycle standards/requirements (e.g., SDLC, UDP, RSA, ADR requirements)
• BAS_Gather, Analyze and Define Business Requirements
  • Collaborate with business and technical stakeholders (e.g., business owners, process owners, domain experts) to identify specific business requirements
  • Conduct current state analysis to gather current business, functional and non-functional requirements and constraints (i.e., "as-is" state)
  • Document future state using appropriate tools/processes (e.g., "to-be" process maps)
  • Gather information needed for the definition of requirements (e.g., business use cases, user stories)
  • Facilitate all needed requirements-gathering activities (e.g., meetings, workshops, JAD sessions)
  • Develop business context diagrams (e.g., business data flows, process flows) to analyze/confirm the definition of project requirements
  • Define desired future state requirements based on input from all applicable stakeholders
  • Identify the business impact of system/application changes, using appropriate tools as needed (e.g., impact analysis, FMEA, risk analysis)
  • Identify capability gaps between current state and desired state (e.g., system capacity, emerging technologies)
  • Ensure adherence to enterprise standards for gathering and documenting project requirements (e.g., RSA, UDP, applicable templates)
• BAS_Document and Communicate Business Requirements
  • Collaborate with technology stakeholders (e.g., System Analysts, architects) to communicate business and technical requirements -Collaborate with project team members to create detailed requirements documents (e.g., PRDs, Requirements Specifications, assumptions and constraints, VFQs, user stories)
  • Ensure that project requirements are clearly and comprehensively documented, understood and support traceability (e.g., peer review, SMART, requirements traceability matrix, Agile inspection)
  • Ensure that project requirements meet all applicable regulations (e.g., HIPAA, SOX, ARRA, DOI, audit requirements)
  • Communicate ongoing updates to all stakeholders to ensure understanding of and alignment with project status/changes -Manage/update requirements documents as needed throughout the design/development process (e.g., document revisions, change requests)
  • Perform reviews with all stakeholders to obtain approval/sign-off of project requirements documents (e.g., walkthroughs)
• BAS_Participate in/Support the Solutioning Process
  • Support, contribute to and/or facilitate the identification/prioritization of business/process solutions (e.g., analysis tools, solutioning discussions, solution selection matrix, IET, use case development)
  • Participate in reviews of conceptual designs and provide appropriate guidance/consulting to help ensure that they satisfy all documented requirements (i.e., business, functional and non-functional)
  • Partner with applicable stakeholders to identify the operational impact of changes within defined solutions (e.g., changes to policies/processes/procedures, compliance with applicable legal/regulatory requirements, additional requirements)
  • Seek opportunities to improve operating efficiencies/effectiveness (e.g., downstream impacts, role/responsibility realignment, enhanced business value)
  • Identify opportunities to engage external resources to provide solutions, and contribute to the development of supporting documentation to facilitate appropriate vendor identification and selection (e.g., Requests For Proposals [RFPs], Requests For 
    Information [RFIs], Statements of Work [SOWs], contractual obligations)
  • Support ongoing operations/maintenance/enhancement of existing solutions, in partnership with applicable stakeholders (e.g., IT, business owners/ partners, vendors)
  • Develop and implement plans for piloting and staging solutions, and manage stakeholder expectations, as applicable
  • Analyze and balance risk/reward considerations for identified solutions (e.g., options analysis)
  • Ensure that all stakeholders are fully informed of new/updated solutions, and identify/escalate any issues communicated by stakeholders
  • Support ongoing monitoring and adjustment of project scope/timelines/dependencies
  • Develop and/or contribute to training programs to support implementation of the solution
  • Ensure that identified solutions meet business requirements for all applicable stakeholders (e.g., traceability)
• BAS_Participate in/Support the Testing and Validation of Identified Solutions
  • Identify and/or establish appropriate testing metrics/targets to validate that business requirements are being met (e.g., performance metrics, process deliverables, traceability, business value)
  • Conduct and/or support testing activities, as appropriate (e.g., production testing, regression testing, user acceptance testing, production validation, compliance with test scenarios)
  • Plan/execute user testing scenarios/scripts and prepare test data
  • Translate problems/issues identified during the testing/piloting process, and engage the appropriate stakeholders (e.g., business, IT) to help identify impact and potential solutions
  • Communicate testing results to appropriate stakeholders (e.g., business owners, operations groups, project team) -Validate usability of technical solutions prior to deployment
  • Participate in creation of implementation plans for identified solutions (e.g., warranty period support)
  • Provide ongoing support to ensure proper implementation and adoption of the solution (e.g., post-deployment support, definition/monitoring of control plans)
  • Adhere to established systems development standards/requirements (e.g., SDLC, UDP, RSA, ADR requirements)

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:

• Maintain awareness of best practices/approaches related to quality and productivity (e.g., process improvement, DMAIC, Lean)
• Demonstrate and apply knowledge of technology industry trends and tools
• Demonstrate and apply understanding of UnitedHealth Group's business (e.g., specific business capabilities, functions, processes and business cycles)
• Demonstrate and apply understanding of health care industry trends and their drivers
• Demonstrate and apply understanding of applicable regulations (e.g., HIPAA, SOX) and UHG policies/standards (e.g., RSA, security)
• Demonstrate understanding of the difference between business requirements and technical solutions
• Maintain awareness of best practices/approaches related to the business analysis discipline (e.g., Business Analysis Body of Knowledge)

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 $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.