Data Analyst, Payment Integrity - Telecommute

| Minneapolis–Saint Paul, MN +25 more | Remote
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
Tough challenges? We know a thing or two about those. When you're on a mission to help people live healthier lives, the stakes couldn't be higher. As a Data Analyst with Payment Integrity, you will help rewrite the future of the health care system. You'll analyze data and deliver bold, business-savvy ideas to impact the lives of millions. Along with ground-breaking challenge, you'll have the support and resources of a Fortune 5 company. Join us.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Support Payment Integrity team members with development, implementation and maintenance of operational reports and dashboards; ensuring resources are accurate, up-to-date, and can be analyzed to reveal critical insights applicable to strategic initiatives
  • Produce detailed data mining reports for the Payment Integrity pillars
  • Extract critical and pertinent information from the data sets that help the stakeholders understand optimal outcomes
  • Effectively process and integrate primary and/or secondary data sources using database warehouse and visual applications
  • Develop effective quality control processes to ensure data integrity
  • Utilize data analytics to uncover critical business insights and findings
  • Process the aptitude to quickly learn software platforms such as MS SQL Server, Power BI, and other BI tools
  • Create and deploy PI edits and algorithms to flag suspect claims and drive savings
  • Perform ad-hoc analysis to quantify and prioritize potential savings opportunities
  • Triage PI referrals from local markets, HCE, Clinical Affordability in order to assess risk
  • Extract critical and pertinent information from the data sets that help the stakeholders understand optimal outcomes
  • Ad hoc support for stakeholders and Payment Integrity needs
  • Performs all other related duties as assigned.

Are you up for navigating a complex matrix of business units and teams? We share a near obsessive desire to outperform and outdo our own achievements across our entire global business landscape. It's going to take all you've got to create valuable solutions to improve the health care system.
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:
  • Bachelor's Degree or 3+ years of additional experience in addition to what is required in lieu of degree
  • 3+ years of database experience and ability to effectively map data, as well as run basic SQL queries to analyze large complex data sets and troubleshoot
  • 3+ years of experience with data visualization tools like Tableau and/or Power BI
  • 2+ years of experience working in the health insurance industry; with knowledge of health insurance claims and/or various payment methodologies
  • Advanced experience with Microsoft Office suite of applications
  • Advanced Excel experience (creating pivot tables, writing functions, and formulas)
  • Proficiency in SQL and developing efficient, well performing queries

Preferred Qualifications:
  • Experience working with Fraud, Waste and Abuse (FWA) data, or within an SIU (Special Investigations Unit)
  • Proficiency in generating extracts from SSMS or DBeaver
  • Experience working with federal healthcare contracts
  • Experience working with outside vendors and/or clients
  • Experience with healthcare claims data sampling; to include random, probe, and statistically validated
  • Experience with reporting and analytics tools (such as SSRS, SSIS, SSAS, etc.)
  • Experience with Power BI platform (such as data flows, data modeling, reporting, dashboards, service administration, DAX, M, etc.)
  • Payment integrity experience specifically in terms of creating edits and algorithms
  • Solid written and verbal communication skills, including the ability to communicate results of data analysis to a variety of stakeholders
  • Excellent analytical and problem-solving capabilities with special attention to accuracy and detail

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
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, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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 bylower 48 law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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