Remote Senior Business Operations Analyst - Telecommute in Washington

Company Location: Anywhere
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UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

When you're setting the pace for change, it's not only challenging, it's exhilarating. We're building new health care solutions right and left and shaping the system as we go to help millions live healthier lives. That's why we need Business Analysts who can keep up and dig deep. When you join us, you'll drive processes and improvement initiatives that have an impact on healing the health system. Sound like your kind of challenge? Join a Fortune 5, industry leader and find out how you can be a part of something life changing for millions.

If you are located in Western Washington, state, you’ll enjoy the flexibility to telecommute*,  as you take on some tough challenges.

Primary Responsibilities:

  • Analyze and interpret data to identify trends, patterns and opportunities for the business and clients
  • Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products, processes and technologies
  • Ongoing monitoring of health plan metrics and contractual requirements
  • Independently research and resolve complex state complaints
  • Independent analysis of state data requirements and reporting 
  • Ensure communication between stakeholders
  • Communication of technical data to non-technical stakeholders
  • Working with Encounter Data business and state partners for research and resolution of state discrepancies and requirements
  • Draft and manage policy and procedure development and benefit information for the plan
  • Ensure deliverables are meeting deadlines and interface with plan leaders to drive the deliverables
  • Participate in the assurance of quality standards for operational processes
  • Serve as a health plan subject matter expert in product benefits and WA Medicaid requirements. 
  • Financial reconciliation for claims that receive Service Based Enhancements (SBEs) payments 
  • Research and resolve enrollment issues and inquiries

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 experience 
  • 5 years of experience in healthcare operations/finance including analysis experience 
  • 5 years of experience with PC-based software programs and automated database management systems (Excel, Access, PowerPoint, SAS, SQL, etc.)
  • 2 years of experience of claims service
  • 2 years of experience in analysis of business process and workflow and providing an evaluation, benchmark and/or process improvement recommendations
  • 2 years of experience with project methodology (requirements, design, development, test, and implementation)
  • Live in Western Washington state

Preferred Qualifications:

  • Experience in Medicaid or Medicare benefit administration
  • State presentation experience
  • Encounter data experience 

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

Nevada Residents Only: The salary range for Nevada residents is $72,800 to $129,900. 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.

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