Senior Business Process Analyst - Eden Prairie, MN - Full-time / Part-time

Be part of something daring and bold and help rewrite the history of UnitedHealth Group! We're changing the landscape of health care with people like you, who really know how to get down to business. When you join us at UnitedHealth Group as a Business Analyst, you will use your sharp business skills to assist in creating, controlling and improving business processes. You will solve complex problems as you serve as a resource to others on your elite team. You will create process design, project implementation, diagnose process improvement opportunities and develop solutions. You will also provide quality reporting, analysis, audits, and develop plans and programs to support continuous quality improvement. You'll be in the driver's seat on vital projects that have strategic importance to our mission of helping people live healthier lives. You'll be doing your life's best work.(sm)Primary Responsibilities:

Filter production oversight –  inventory assignment, reporting, and quality assurance
Filter efficacy validation – monitor reporting to ensure that filters are properly excluding claims
Removal governance and confirmation – promote stakeholder adherence to governance process and participate in governance discussions; confirm that removals take place
Research of filter exceptions – investigate instances when claims stop despite exclusions; identify and work with exclusion fulfilment teams to address root cause
Process improvement – participate and help lead the filter redesign project; examples include: filter life cycle documentation, development of additional filter controls and validation mechanisms, automation, creation of a Master Exclusion List
Reporting development – create reporting to show impact of filter process, including individual filters, on FWAE pre payment value creation

Provide data - driven recommendations for exclusion adjustments

False positive reduction – identify proactive opportunities to remove providers from review
Reduce over-filtering – identify opportunities to reduce exclusions that are omitting aberrant claims from review
 

Required Qualifications:

An undergraduate degree
4+ years of experience analyzing data to produce actionable outcomes
2+ Project Management experience; certification not required
2+ years of experiencing presenting complex information, ideas, and recommendations to a variety of audiences at different levels within an organization
MS Office – intermediate level Excel knowledge
Preferred Qualifications:

SQL / SAS knowledge
Experience building reporting in Tableau
MBA or Business Analysis certification (i.e. CBAP or PMI PBA)
Healthcare experience
Lean / Six Sigma exposure
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)
 
 
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, SQL, SAS, project management, healthcare, Lean, Six Sigma, analysis, data, Eden Prairie, MN, Minnesota