Facility Claims Data Analyst - Remote

UnitedHealth Group

  • Minnetonka, MN
  • $71,200-127,200 per year
  • Permanent
  • Full-time
  • 9 days ago
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.Positions in this function are responsible for the management and manipulation of mostly structured data, with a focus on building business intelligence tools, conducting analysis to distinguish patterns and recognize trends, performing normalization operations and assuring data quality. Depending on the specific role and business line, example responsibilities in this function could include creating specifications to bring data into a common structure, creating product specifications and models, developing data solutions to support analyses, performing analysis, interpreting results, developing actionable insights and presenting recommendations for use across the company. Roles in this function could partner with stakeholders to understand data requirements and develop tools and models such as segmentation, dashboards, data visualizations, decision aids and business case analysis to support the organization. Other roles involved could include producing and managing the delivery of activity and value analytics to external stakeholders and clients. Team members will typically use business intelligence, data visualization, query, analytic and statistical software to build solutions, perform analysis and interpret data. Positions in this function work on predominately descriptive and regression-based analytics and tend to leverage subject matter expert views in the design of their analytics and algorithms. This function is not intended for employees performing the following work: production of standard or self-service operational reporting, casual inference led (healthcare analytics) or data pattern recognition (data science) analysis; and/or image or unstructured data analysis using sophisticated theoretical frameworksYou'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Work alongside other data analyst and business analysts to design and implement waste and error analytics for facility claimsCollaborate/Communicate with internal reporting customers and business partnersConduct hands-on data analysis on large complex datasetsGenerate actionable insights and recommendations based on data analysisWork with a great deal of autonomy to find solutions to complex problemsTeam player with the ability to collaborate across diverse and matrixed teamsGenerally work is self-directed and not prescribedWorks with less structured, more complex issuesServes as a resource to othersYou'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 hands-on experience in healthcare data analysis and predictive analytics
  • 3+ years of working knowledge of MS-DRG, APR-DRG, ICD10, Medicare rules and regulations, and coding standards
  • 2+ years of experience developing in SQL (developing queries, joins, etc)
  • Experienced in facility inpatient and outpatient billing and payment methodologies
  • Proficiency in identifying and resolving data anomalies in healthcare claims
Proven solid communication skills across various mediums and with diverse stakeholdersPreferred Qualifications:
  • 4+ years healthcare experience
  • 2+ years of experience in billing, auditing and/or claim processing
  • Proven project management skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.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.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group