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.

This position conducts and manages outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. They support short and long term operational and strategic business activities. They also develop and implement strategic business solutions through research and analysis of data and business processes. This position is on a team with clinical auditors who perform post-pay compliance reviews of long-term care providers for the Massachusetts Medicaid program (MassHealth)

Day to Day Responsibilities: (include % of time after each main duty; total should = 100%)

Approximately 5-10% each - flexes as needed

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Works collaboratively with business and support leads, and subject matter experts (SMEs), to map and document current or anticipated processes, project plans, and/or issue logs
• Responsible for documentation management of assigned processes, which may include medical records, billing records, healthcare claim data, operations documentation, and/or business unit policies and procedures
• Analyzes and interprets data to identify trends, patterns and opportunities for the business and clients
• Performs data validation and quality review
• Problem solves, both in the context of balancing multiple priorities to ensure deadlines are met, and in researching conflicting and/or inaccurate data to propose solutions
• Communicates analysis including trends and opportunities to clients / business in writing and verbally
• Understands and anticipates customer needs and works proactively to meet them
• Creates, produces, and manages daily, weekly, monthly, quarterly, and annual reports
• Performs routine or structured work, in collaboration with Operations Manager(s)
• Assists in implementation initiatives to ensure project deliverables and milestones are met
• Provides explanations and interpretations within area of expertise
• Exercises problem solving skills to support deliverable timelines

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 data analysis of root cause analysis and reporting
• 2+ years of documenting business process or job aid development
• Proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
• Excellent verbal and written communication skills

Preferred Qualifications:

• 4 + years of business experience
• Experience gathering requirements from the client/business and documenting
• Familiarity with Medical Billing and Coding terminology
• Experience with health plans, healthcare claims, or clinical operations experience
• Intermediate + level Excel skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

At 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.

#RPO #GREEN

---