For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

We are looking for a technical business analyst to join our team and work on HealthCare EDI Integrated Authorization Solutions. The ideal candidate will have technical skills that allow for diving into healthcare databases to research and analyze various aspects of the EDI solutions we deliver and support. Additionally, and equally important the ideal candidate will possess a solid business acumen that can comprehend both business and technical solution requirements and translate them into various project artifacts. Must be able to articulate business processes and technical solutions clearly and competently with cross-functional team resources. This is a telecommute role that is highly engaged using a multitude of communication channels and frequent interactions.

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

Primary Responsibilities:

• EDI Tech Solutions Team Resource for EDI Mapping, Transaction Validation and Testing as required
• Perform HealthCare data analysis, research and measurement for various aspects of the EDI Tech Solutions integration projects and interaction with authorizations, claims, member eligibility, provider and utilization management data
• Prepare and update technical and functional requirements documents, process documentation, workflow and data flow diagrams, project plans, test plans and other artifacts as requested
• Preparation of presentations, reports or other metrics as needed by management to support the EDI Tech Solutions Team
• Actively interfacing with internal and external project resources, managed care customers, IT resources and others when requested and document meeting discussions action items and take aways
• Participate in Scheduled and ad-hoc auditing of various systems and databases to support prior authorization transaction research and the business needs as requested
• Assignment of special projects as 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:

• 3+ years of experience with process and workflow documentation.
• 3+ years of experience using a full suite of Microsoft Office Products: Microsoft Word (creating and editing documents), Microsoft Outlook (email and calendar), Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc..), and Microsoft Power Point creating presentations, Microsoft Visio (creating workflow/process/data flow diagrams)
• 2+ years of experience working within a Healthcare IT Functional Area
• 2+ years of experience working with Clinical Utilization Management Systems
• 2+ years of healthcare EDI testing and validation experience
• 2+ years of functional database (any SQL tools) experience querying and analyzing HealthCare Data
• 2+ years of experience within the healthcare data environment working with authorization, eligibility and/or claims data or application interfaces
• 1+ years of healthcare EDI Transaction knowledge and experience
• Proven ability to competently articulate and document clear technical and functional specs and present information visually within a cross-functional team environment of other telecommuters
  

Preferred Qualifications:

• Bachelor degree in CS or technology discipline
• 2+ years of experience with SQL (building analytical queries)- MS SQL, PostGres, Dbeaver
• 2+ years of specific EDI X12 ANSI 278 Transaction expertise
• 1+ years of EDI transaction mapping experience
• 1+ years of EDI Production Support and Maintenance experience
• Experience working with cloud-based solutions and services
• Experience with Agile Project Methodology for Technical Systems Development Life Cycle Project Work
• Knowledgeable about healthcare prior authorization and claims processing
• Knowledge of CPT coding or reimbursement processes
• Project management concepts and artifacts
  

Soft Skills:

• Solid organization skills and impeccable attention to detail
• Excellent communication skills, both verbal and written, with the ability to interact with various levels of resources in a highly matrixed cross functional organization
• Ability to utilize multiple channels of communication simultaneously throughout the work-day and actively be engaged in meetings, working sessions and assigned project work
  
  

Telecommuting Requirements:

• Have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $67,800 to $133,100. 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.

*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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.