Senior Business Analyst, Provider Operations

Requisition Number: 2385268
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
A hybrid business/technical position which will give you the opportunity to use both your business skills and technical expertise to support various initiatives related to the loading and monitoring of provider data. You'll be involved in all phases of a new project, from gathering requirements, developing a process, and presenting and explaining the results to the customer.
Primary Responsibilities

• Manage the full cycle of Medicaid provider enrollment data, including loading from text files into database tables, conducting comparison of state data to current Optum network enrollment, submitting providers for load or update as appropriate, monitoring the progress of the data through various system processes, and maintaining records of items processed in order to provide information on workload and data trends
• Understand the various data sources available and determine the best approach for combining data from multiple sources/platforms
• Take ownership of assigned network processes and manage most aspects independently with minimal direction
• Work with business partners to design and perform ad hoc and reoccurring reporting and analysis of provider data, and facilitate data loads and updates of provider data in response to requests from business partners
• Lead the design and implementation of continuous improvements to the provider data load and maintenance processes
• Perform routine analysis on provider data to identify and remediate errors and trends that could indicate larger system issues
• Participate as a SME in meetings with business partners to provide insight into provider data as well as departmental processes for its maintenance
• Present analysis and recommendations for operational and business review/planning
• Assist other team members with using available technology to simplify workflows and improve data accuracy
• Maintain a familiarity with new technology, including AI, to ensure our processes continue to use current technology and work within the larger Optum technology framework

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:

• 3+ years of experience in business analysis
• 3+ years of knowledge in Microsoft Access, Microsoft Teams, and Microsoft SQL Server:
  • Understand data types and how to convert between systems during import/export processes
  • Identify matching data elements between multiple systems when the names/descriptions do not obviously indicate a match
  • Use Microsoft Access as a front end for data stored on Teams, Microsoft SQL Server, Oracle databases
  • Develop user interfaces in Microsoft Access for multi table data sources to review and update data, including basic error checks and usability features
  • Develop code to handle full process from data import to reporting with minimal manual intervention
  • Write moderately complex queries for data research and ad hoc reporting: multi table queries using full, left, and right joins; matched/unmatched queries; summary and grouping queries
  • Develop automation processes using batch files and platform specific automation capabilities
• Experience with data transfer between multiple formats (delimited/nondelimited flat files, Microsoft Excel, Microsoft Access, Microsoft SQL Server)
• Knowledge of relational databases and table structure
• Proven ability to research and learn independently without having specific training or documentation available
• Proven high level of deductive reasoning and problem-solving abilities
• Proven ability to analyze for root cause and identify solutions and next steps

Preferred Qualifications:

• Experience using Microsoft SharePoint as a data sharing platform using Microsoft Access and/or Microsoft SQL Server as a data source
• Basic knowledge of AI technology with a focus on process improvement
• Knowledge of provider demographic data, especially as it relates to Medicaid requirements (NPI/Medicaid ID/address alignment, eligibility dates, provider type and specialty)
• Knowledge of Optum systems (OHBS Facets, NDB, CSP Facets) and pricing configuration in each system

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 salary for this role will range from $72,800 - $130,000 annually 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.