Business Systems Analyst - Telecommute

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Posted 5 days ago United States $64k - 116k (US Dollars)
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Job Description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

Positions in this function create and deliver high quality system solutions for our applications, products and services across all technology functions. They consult with users and technology specialists to define business processes and the information systems for supporting those processes. Individuals in these roles may perform analysis and also serve as business liaisons to understand and refine business requirements. They provide technical support in developing systems that are cost effective and meet users' requirements. This function works to create systems that work together in a cohesive manner, enforcing standards and methods consistently across the enterprise. Roles may support both current system improvements and maintenance along with new system development.

You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:

  • PPS Client Support:
    • Ensures successful installation, implementation, and configuration
    • Apply analytical / quantitative approach to problem solving
    • Knows how to obtain and use data, and comfortable with statistical concepts
    • Utilize communication skills to influence and negotiate
    • Utilize one's strong interpersonal skills to work with all levels of management across all functional areas, as well as, business partners through internal entities
    • Work within client ticketing system to track escalated issues, input new issues or answer issues sent in by other teams
    • Communicate any responses back to client
    • Implement changes as needed and outlined in contract
    • Work directly with Optum colleagues and customers to determine and document Client PPS payment system methodology education needs
    • Work directly with Optum colleagues and clients to determine and document Client requirements for Optum PPS product training
    • Works directly with customers to define other project requirements, provide assistance to answer questions related to project results
    • Assist as needed with other Reimbursement Solutions projects
    • Engage with dedicated clients either VPN or Remote, WebEx to apply updates or Troubleshoot issues using documentation from Regulatory
    • Support Optum Business Partners with questions around integration
    • Compile Documentation: Processes and Procedures (including but not limited to Clients specific tracking, network configuration, rules of engagement)
  • Generally work is self-directed and not prescribed
  • Works with less structured, more complex issues
  • Serves as a resource to others

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:

  • Bachelor's degree or equivalent work experience
  • 3+ years or experience working in a healthcare data or regulatory environment
  • Basic knowledge and understanding of Prospective Payment Systems - includes DRG, APC, OCE, ESRD, CAH, CMG, RUG, RBRV
  • Experience pricing Medicare hospital facility claims (inpatient and outpatient)
  • Experience breaking down information and developing solutions
  • Healthplan experience in facility contract configuration, claims or IT
  • Experience documenting client operational and technical workflow
  • Experience configuring and customizing software solutions
  • Some Facility claims reimbursement - Medicare, Medicaid, Commercial
  • Exposure to healthcare claims data, basic PPS concepts, UB04 and HCFA 1500 claim content
  • Claims system knowledge

Preferred Qualifications:

  • Experience with EasyGroup, WebStrat and RateManager
  • Some SQL experience
  • Experience with Microsoft Word, Excel, PowerPoint, Visio
  • .NET or IIS
  • Trizetto Facets, Networx Pricer, QNXT, Health Rules Payer, IKA Claims, Burgess Systems, Epic Tapestry, 3M

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)

Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. 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 Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Job Keywords: Business Analyst, Healthcare Data, Regulatory Environment, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote