Business Process Analyst

This position is Remote in CA. You will have the flexibility to work remotely* as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. 

Optum CA is seeking a Business Process Analyst to join our team in Los Angeles, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

We are actively recruiting a Business Process Analyst to join our Network Development team. This individual will be responsible for driving all membership pull through activities associated with new affiliate growth contracts, including coordination with health plans, physician offices and internal teams. The Manager will join a growing team of high impact, high motivation individuals, and is expected to manage multiple work streams while proactively and effectively communicating across internal and external stakeholders.   

This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. 

We offer 2 weeks of paid on-the-job training. The hours of training will be aligned with your schedule.  

Primary Responsibilities:

• Leader in all membership activities from PCP departures, retirements and updates
• Ability in driving to completion and solving complex transition and providing collaborative solutions to non-standard request for membership movement
• Collaborate extensively with cross-functional internal and external stakeholders to ensure proper membership movement
• Training curriculum and onboarding documentation; development of teammates to understand all membership activities and strategies to include growth and membership outreach within the organization
• Present regional and market level performance reports to senior leadership on project updates, project cycle, and performance results
• Develop strong relationships with both internal and external stakeholders to ensure membership is retained
• Create and develop workflows and best practices for Optum CA market for standardized workflows for PCP departures

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 / GED OR equivalent work experience
• Must be 18 years of age OR Older
• 2+ years of healthcare experience, knowledge of Southern California managed care environment 
• Sales, communication, and project management skills
• Knowledge of managed care industry and regulatory environment
• Energy and ability to thrive in a very fast-paced environment with multiple stakeholders
• Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. 

Preferred Qualifications: 

• 2+ years of experience working with Health Plan's & FMO's agencies 
• 2+ years of experience working with Availity, Microsoft excel, Microsoft PowerPoint, and Microsoft Word 
• 1+ years of experience transitions membership 

Telecommuting Requirements:

• Reside within the state of CA
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
• Uses, protects, and discloses DMG patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Self-starter with ability to think and work independently and problem solve
• Strong communicator and relationship builder
• Proficient in Microsoft Excel, PowerPoint, and Word
• Ability to use Calendar Management Program

*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 $28.94 - $51.63 per hour 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.

OptumCare 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.

OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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