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Hours Full-time, Part-time
Location Schaumburg, IL
Schaumburg, Illinois

About this job



Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  
 
You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.
 
This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.
 
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
 
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes and claim business rules. Include claims systems utilization, capacity analyses/planning and reporting, claims-related business and systems analysis. Ensure data integrity, data security and process optimization.
 
Positions in this function are responsible for all related aspects of claim system processes and claim business rules. Includes claims systems utilization, capacity analyses/planning and reporting. Includes claims-related business and systems analysis. Ensures data integrity, data security and process optimization. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.
 
Positions will be in our Office in Schaumburg, IL (1600 McConnor Parkway) office
 
Primary Responsibilities:

CMS/Regulatory Reporting for Medicare pharmacy business
Data Analytics
Internal/External Client Communication (clearly determine report requirements based on information from sources with varied technical understanding)
Ad-hoc reporting for operations or audit support

Requirements


Required Qualifications:

High School Diploma or GED
1+ years of experience analyzing data using SQL and Visual Basic
Ability to use Microsoft Excel to create, edit, and store spreadsheets to summarize large amounts of data
Ability to use Microsoft SharePoint to store/retrieve documents
Preferred Qualifications:

Bachelor of Science or higher in discipline which included coursework in analytics or in a strongly related field
2+ years of experience generating reports using SQL and Visual Basic in healthcare analytics
2+ years of CMS experience working with CMS deliverables (Medicare Part D)
Microsoft Certified in Access/Excel or 5+ years of experience generating complex reports/tables in Access/Excel
Soft Skills:

Excellent Verbal and Written communication skills used to discuss and explain complex situations related to complex programs
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.
 
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.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.
 
Keywords:  claims, medical claims, healthcare claims, claims processing, claims processor; office, UnitedHealth Group, Optum,  training class, customer service representative, customer service, CSR, Data Entry, adjustments, analyze, SQL, analyst, reporting, audit