Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry-leading health care services at a company that's improving the lives of millions. As the Healthcare Economics Consultant / Business Analyst you will design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. As the Consultant, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. Your analyses will be used to create viable, real-world solutions in a complex health care landscape. The work is as challenging as it is rewarding. You'll open doors to new opportunities. This is where bold people with big ideas are writing the next chapter in health care. Join us. There's never been a better time to do your life's best work.(sm)
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Interpret and analyze medical claim, membership, provider, general ledger, clinical encounter, authorization, pharmacy claim, and lab data
Lead projects to completion by contributing to data source & destination procurement, data mapping, data dictionary, crosswalk mapping, definition and interpretation
Document processes, intake, break/fix, governance
Logical, detail oriented thought process with the ability to breakdown a complex problem into individual root causes
Ability to identify and refine criteria to successfully increase efficiency of algorithm logic
Complete business analysis on new analytic opportunities that may include proof of concept, functional testing, determination of yield, time to complete, and financial impact
Explore potential trends identified by internal initiatives and matrix business partners
Generate functional business requirements used for various processes, analytic development, strategic reporting, and system navigation (SOPs, BRDs, PRDs, HLDs etc.)
Develop documentation diagramming & UML support
Triage anomalies observed with production processes and perform proof of concept analyses for remediation
Research, identify, and document initiatives delivered by SMEs and various Team members
Ability to integrate well with both internal and external IT partners
Intermediate experience with CMS Files 837s, 834s, 277s, MAOs, X12, CCLF etc
Intermediate experience with Claim Processing Systems (Facets, Xcleys, Galaxy, IKA, EZCap, etc.)
Intermediate experience with Tableau
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
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.
Job Keywords: clinical, medical, pharmacy claim, data analysis, SQL, analyst, Phoenix, AZ, Arizona, telecommute, telecommuting, telecommuter
Unitedhealth Group Inc.