Optum360, a UnitedHealth Group company, exists to transform today’s revenue cycle and modernize the business of health care - through health information, skilled services and innovative technologies. We are advancing the entire revenue cycle by aligning payers, providers and consumers. Strategically situated in the center of the cycle, we are uniquely positioned to identify and seize opportunities that drive positive financial performance for all stakeholders. Our technologies and methodologies are the industry's most advanced, and our people are the industry's most proficient. We are working to create a future so seamlessly interconnected that no claim is ever denied. We serve health care providers, including health systems, hospitals and physician practices. In addition to managing revenue services end-to-end for clients, we also have thousands of customers using our content, technologies or a specific service to improve their revenue management performance and increase patient satisfaction. We work closely with payers, bringing more transparency and efficiency to the revenue cycle for the benefit of our clients and ultimately, consumers. This is a place like no other and where you’ll do your life’s best work.(sm)
The United States healthcare system is a trillion-dollar industry, which includes pharmacies, pharmaceutical companies, medical equipment manufacturers, and medical care facilities. The complex infrastructure that keeps this industry, which is responsible for the well-being of millions of Americans, running on a day-to-day basis relies on specialized professionals tasked with overseeing these operations. One such system is the medical claims process. The claims process can be summarized as a dual interaction between two of the largest and most important pieces of the healthcare system: healthcare providers and medical insurance companies.
We are seeking an Associate Business Analyst for this client facing role. Medical billing can be a complex process, because of healthcare and legal regulations, ever-changing codes, and Medicare and HIPPA compliance issues. You will be interacting regularly with our clients: Hospital Groups, Ambulatory Clinics, Central Billing Offices, etc., as you conduct analyses that help them improve their revenue cycle processes. You will create process design, project implementation, diagnose process improvement opportunities, and develop solutions. You will also provide quality reporting, analysis, audits, and develop plans and programs to support continuous quality improvement using a variety of applicable tools. Our team works in either our Eden Prairie, MN or Phoenix, AZ location.
Engage / collaborate with appropriate stakeholders and SMEs to identify business needs, performance goals and gaps
Conduct task analysis / research to identify the specific knowledge, skills, behaviors needed to achieve desired performance levels (e.g., focus groups, observation)
Gather and / or document information on stakeholders’ business requirements, specifications, and/or needs(e.g., conduct intake process, ask questions, review project charter, monitor regulations, review reports)
Ensure obtained data and information are accurate and relevant to meet end users’ needs
Identify and communicate appropriate solutions needed to address identified business issues and needs (e.g., training, coaching, policy changes, system changes, process / procedure changes, compliance issues, documentation issues, incentive issues, leadership issues, organization structure)
Communicate any identified defects with relevant stakeholders (e.g., project managers, business partners, IT) and / or facilitate appropriate adjustments.
Perform additional duties as required and / or assigned
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.
Bachelor's degree (or 3+ years of directly related experience in a Business Process / Business Data role performing business & data analysis, documenting processes and procedures, while effectively prioritizing multiple tasks, priorities, projects, and deadlines)
1+ years of experience in a role performing business & data analysis using MS Excel and other tools (MS Access, SQL and VBA)
Intermediate level of proficiency with Microsoft Office Products (Excel, Word, Outlook, PowerPoint, etc.)
Effective communication (verbal and written) and presentation skills with the ability to communicate to a variety of levels within the organization including leadership
Experience working with insurance health plans and / or healthcare providers
Medical claims experience (ICD-10 medical codes)
Knowledge of the Revenue Cycle in our healthcare system
Experience using MS Access, SQL and/or VBA for data analysis
Basic understanding of HTML
Experience with process mapping (using MS Visio)
Lean or Six Sigma experience
Ability to work in a fast paced environment and adapt to ever changing priorities
Demonstrated problem-solving and strong analytical skills
Self-motivated, able to work in a team, and demonstrates the ability to work independently
A passion for and commitment to a consumer and client driven culture
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)
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.