Claims Business Process Analyst Senior

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 to start Caring. Connecting. Growing together. 

Primary Responsibilities:

• Reporting Development and Data Integration:
  • Assist with data projects related to integration with our core claims adjudication engines, eligibility, and other database items as necessary
  • Support the data leads by producing ad hoc reports as needed based on requirements from the business
  • Report on key milestones to our project leads
  • Ensuring all reporting aligns with brand standards
  • Ensuring PADU guidelines for tools, connections, and data security
  • Build a network with internal partners to assist with validating data quality
• Analytical Skills Utilization:
  • Applying analytical skills and developing business knowledge to support operations
  • Identify automation opportunities through the trends and day to day tasks to help create efficiencies within the team
  • Perform root cause analysis via the 5 why root causing to identify process gaps and initiate process improvement efforts
  • Assist with user testing for reports, business insights dashboards, and assist with automation validation review
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• Degree or equivalent data science, analysis, mathematics experience 
• Experience supporting operational teams’ performance with reports and analytics 
• Experience using Word (creating templates/documents), PowerPoint (creation and presentation), Teams, and SharePoint (document access/storage, sharing, List development and management)
• Basic understanding of reporting using Business Insights tools including Tableau and PowerBI
• Expertise in Excel (data entry, sorting/filtering) and VBA
• Proven solid communication skills including oral, written, and organizational skills
• Proven ability to manage emotions effectively in high-pressure situations, maintaining composure, and fosters a positive work environment conducive to collaboration and productivity

Preferred Qualifications:

• Experience leveraging and creating automation such as macros, PowerAutomate, Alteryx/ETL Applications
• Experience working with cloud-based servers, knowledge of database structure, stored procedures
• Experience performing root cause analysis and demonstrated problem solving skills
• Knowledge of R/Python, SQL, DAX or other coding languages
• Knowledge of multiple lines of business, benefit structures and claims processing systems

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.

#NJP