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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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Positions in this function are responsible for the management and manipulation of mostly structured data, with a focus on building business intelligence tools, conducting analysis to distinguish patterns and recognize trends, performing normalization operations and assuring data quality. Roles in this function could partner with stakeholders to understand data requirements and develop tools and models such as segmentation, dashboards, data visualizations, decision aids and business case analysis to support the organization. Other roles involved could include producing and managing the delivery of activity and value analytics to external stakeholders and clients. Team members will typically use business intelligence, data visualization, query, analytic and statistical software to build solutions, perform analysis and interpret data. Positions in this function work on predominately descriptive and regression-based analytics and tend to leverage subject matter expert views in the design of their analytics and algorithms.
Primary Responsibilities:
Ability to distil criteria for data analysisExperience analyzing large data setsAssesses and interprets customer needs and requirementsUse pertinent data and facts to ideate, identify and solve a range of problems within area of expertiseAbility to communicate the outcome of this research in a manner suitable for the intended audienceExamine, assess, and document business operations and procedures to ensure operational efficiency and excellenceAbility to build relationships to increase velocity of concept conversion to identificationsAssesses and interprets customer needs and requirementsIdentifies solutions to non-standard requests and problemsSolves moderately complex problems and/or conducts moderately complex analysesTranslates concepts into practiceProvides explanations and information to others on difficult issuesReview top denial reasons for training opportunities, potential rebuttals back to the client, and query enhancementsCreate action plan with summary and claim details to ensure that all reporting, training and priority recommendations are delivered to Operation ManagementEnsure that training is completed and feedback is receivedEnsure that all needed production queries are enhanced accordinglyOther duties may apply*** ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
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 SQL programming with the ability to perform effective querying2+ years of health care experience working with healthcare claims dataMid-level to advanced experience in ExcelProven analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracyProven solid written and verbal communication skills with the ability to explain complex data analysis results to non-technical stakeholdersProven solid attention to detail with a focus on quality and accuracyDemonstrated exemplary verbal and written communication skills in EnglishAbility to work 40 hours weekly from Monday to Friday during our regular business hours from 7am to 7pm (Overtime as business needs dictate)Preferred Qualifications:
Experience with SQL Server Reporting Services and SQL Server Integration ServicesAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
