Senior Business Systems Analyst - Telecommute at Optum (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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing 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.
Primary Responsibilities:
  • Analysis of current business processes and systems, and documenting requirements for new processes and systems
  • Work with internal team and customer on business documentation and updates
  • Attend meetings with user groups and document meeting minutes, action items, and decisions.
  • Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria
  • Help with developing presentations for internal team or for the customer. Solicit input from others and pull information together to create a professional presentation.
  • Work with development team to document updates needed for the Operations Guide
  • Assist with analysis of Medicaid enrollment, provider and claims data, and document requirements, use cases
  • Support user acceptance testing and implementation
  • Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution
  • Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines
  • Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts
  • Positive attitude and willingness to jump in and help where needed

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 in related field
  • 5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems
  • 4+ years of experience working for a state Medicaid agency working with State Medicaid and CHIP programs
  • Experience with facilitating meetings
  • Basic understanding of CMS reporting requirements for Medicaid including CMS 61/21 and T-MSIS
  • Basic understanding of FFS, Managed Care claim adjudication processes from enrollment to funding/finance and encounter claims
  • Proficient with Azure DevOps or JIRA
  • Knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation
  • Knowledge of Affordable Care Act and eligibility
  • Expert with MS Word, MS PowerPoint, and MS Excel
  • Demonstrated effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits
  • Proven ability to complete assignments under tight deadlines with little/no direct supervision

Preferred Qualifications:
  • Experience working with a state Medicaid agency on PERM, T-MSIS, CMS Federal Reporting or similar projects
  • Experience in HEDIS, CHIPRA or similar quality metrics
  • Experience with using Azure DevOps, SharePoint, MS Project, Visio
  • Knowledge of Quality of Care program Proven ability to be a self-starter and able to thrive in an environment with little guidance
  • Demonstrated solid time management and organizational skills
  • Proven excellent interpersonal, oral, and written communication skills
  • Ability to perform some data analysis using SQL, Excel against data warehouses utilizing large datasets
  • Demonstrated knowledge of data integration, software enhancements/planning and agile methodologies
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, 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)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only: The salary/hourly range for Colorado residents is $82,100 to $146,900. The salary/hourly range for Connecticut/Nevada residents is $90,500 to $161,600. 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.
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.
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Candidate Location Eligibility:
Ann Arbor, MI
Atlanta, GA
Austin, TX
Baltimore, MD
Boston, MA
Chicago, IL
Dallas-Fort Worth, TX
Detroit, MI
Hartford, CT
Houston, TX
Jacksonville, FL
Las Vegas, NV
Los Angeles, CA
Louisville, KY
Madison, WI
Minneapolis–Saint Paul, MN
Nashville, TN
New York City, NY
Philadelphia, PA
Phoenix – Mesa – Scottsdale, AZ
Raleigh-Durham, NC
San Diego, CA
San Francisco, CA
Seattle, WA
Washington DC

Technology we use

  • Engineering
  • Product
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • ScalaLanguages
    • SqlLanguages
    • JenkinsLanguages
    • HadoopFrameworks
    • SparkFrameworks
    • SpringFrameworks
    • KafkaFrameworks
    • LinuxFrameworks
    • KubernetesFrameworks
    • DockerFrameworks
    • SnowflakeDatabases
    • Google AnalyticsAnalytics
    • SmartsheetManagement

An Insider's view of Optum

How would you describe the company’s work-life balance?

Many companies have a standard 8-hour day, but we don’t. Optum is a global company, so we recognize that working hours are different for everyone depending on their situation. Optum has implemented flexible working policies that allow employees to work from home in addition to the traditional office setting with virtual tools to support everyone.

Rachel

Chief of Staff

What projects are you most excited about?

My teams work on Digital Benefits where our mission is to deliver benefit clarity, cost transparency, and guidance towards increasing healthy outcomes for our members! One exciting project that we just finished was the Mental Health Hub, where we worked to spotlight member's mental health benefits offered by their United Healthcare health plans.

Tim

Senior Software Engineering Manager

How does the company support your career growth?

At Optum the ideal of helping people live healthier lives transcends the healthcare industry and applies to our employee experience. Through meaningful mentorships and participation in holistic leadership development programs, I have been empowered to show up as the best version of my authentic self at home and at work to pursue my life’s purpose.

Kat

Technology Product Director

How does the company support your career growth?

I started with the company 12 years ago and have been promoted 5 times. As an analyst, I provided leaders with meaningful analytics needed for decision-making. Now as a Director, I’m the one making the decisions. I’m responsible for creating effective business strategy, executing tactical plans, and helping drive patent culture transformation.

Komal

Director, UHG Invention Program

What are Optum Perks + Benefits

Culture
Volunteer in local community
Partners with Nonprofits
Friends outside of work
Eat lunch together
Intracompany committees
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Diversity
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Pet Insurance
Wellness Programs
Onsite Gym
Team workouts
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Employee Stock Purchase Plan
Performance Bonus
Match charitable contributions
Child Care & Parental Leave Benefits
Child Care Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Adoption Assistance
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Perks & Discounts
Casual Dress
Parking
Relocation Assistance
Fitness Subsidies
Home Office Stipend for Remote Employees
Professional Development Benefits
Job Training & Conferences
Tuition Reimbursement
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Mentorship program
Continuing Education stipend
Online course subscriptions available

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