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Job Information

UnitedHealth Group Sr. Business Analyst - Telecommute in Schaumburg, Illinois

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

You’ll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:

  • Manage/lead, conduct, create, control, improve outcomes of end-to-end business processes

  • Lead and support the Subrogation, Medicare Reclamation/Medicare Secondary Payer (MSP) process, as well as general claims and technical support to the billing entities, claims processing team and other business partners

  • Understand basics of transaction monitoring (e.g., claims processing; eligibility transactions; customer installation)

  • Lead and participate in process design and project implementation teams for operational efficiencies, effectiveness and process improvement activities leading to recommended solutions following internal processes and methodologies including potential impacts and risks

  • Partner with applicable stakeholders to identify the operational impact of identified improvements within defined solutions (e.g., changes to policies/processes/procedures, compliance with applicable legal/regulatory requirements, additional requirements)

  • Support ongoing operations/maintenance/enhancement of existing solutions, in partnership with applicable stakeholders (e.g., IT, business owners/ partners, vendors)

  • Ensure that identified solutions meet business requirements for all applicable stakeholders

  • Analyze business process information (e.g., metrics; analytics) to identify key issues, trends, and potential root causes that point to improvement opportunities

  • Collaborate with business and technical stakeholders (e.g., business owners, process owners, domain experts) to identify specific business requirements

  • Obtain needed resources (e.g., different functional teams; subject matter experts; internal and/or external stakeholders) to implement business solutions

  • Collaborate with technology stakeholders (e.g., System Analysts, architects) and project team members to communicate business and technical requirements to create detailed requirements documents and ensure the project requirements are clearly and comprehensively documented, understood and support traceability. Update as required on an ongoing basis through project/workflow design and implementation

  • Identify and/or establish appropriate testing metrics/targets and lead, conduct and support relevant testing (e.g., pre-production; user acceptance; post-production) to validate processes are working as designed to include communication and identification of defects and/or facilitate appropriate adjustments

  • Plan/execute user testing scenarios/scripts and prepare test data and translate problems/issues identified during the testing/piloting process, and engage the appropriate stakeholders to help identify impact and potential solutions. Validate usability of technical solutions prior to deployment

  • Provide input into and/or develop relevant policies, procedures, and/or work tools to support new or updated business processes

  • Create ad hoc and quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement and monitor on-going progress of business processes to identify potential challenges, risks, and/or defects.

  • Assist in the creation, implementation and evaluation of Total Quality Management (TQM) programs

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

  • 2+ years of claims processing experience within RxClaim including claim adjudication, eligibility review, and understanding payment outcomes, subrogation/reclamation experience or equivalent experience

  • 2+ years of experience with business analysis and process improvement

  • 2+ years of specific experience with documenting processes and practices

  • 2+ years of experience using MS Word, Excel, and PowerPoint (intermediate or better proficiency)

Preferred Qualifications:

  • Bachelor’s degree in Business, Finance, Health Administration or related field

  • 1+ years of experience using MS Access, MS Project and MS Visio (intermediate or better proficiency)

  • Excellent planning and execution skills. Meticulous and methodical, detail oriented with a demonstrated ability to dive deep and ask the right questions

  • Excellent communication and time/project management skills, solid problem solving ability and analytical skills, ability to think big picture

  • Batch claims processing knowledge

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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: Senior Business Analyst, Business Analysis, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote