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Hours Full-time, Part-time
Location Hartford, CT
Hartford, Connecticut

About this job

We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours.  It's the opportunity to do your life's best work.(sm)
 
Use your Sharp Analytical Skill to help us conduct and manage outcomes of various studies which include reviewing, forecasting, trending, and presenting information for operational and business planning! Support short and long term operational/strategic business activities by developing, enhancing and maintaining operational information and models. Also, develop and implement effective/strategic business solutions through research and analysis of data and business processes.
 
Primary Responsibilities:

SME knowledge level of COSMOS processing and related output (835, PRA and EOB)
Responsible to complete UAT workflow (execution) for assigned projects
Follow UDP guidelines
Request and obtain sign off of UDP mandatory artifacts related to the project(s) assigned
Accurately maintain ALM
Support of MBOs assigned to our Team
Report, prioritize and track all defects to resolution
Enforce established SLA
Address business needs/requests
Monitor project dates and meet individual deliverables as well as support other team members to ensure quality/accuracy goals and UAT schedules are met
Work to remove obstacles for the business analysis team and addresses issues during the project lifecycle
Assist with Talent Development and mentoring
Facilitate projects reviews and meetings
Provide feedback on Capacity Management updates
Manage multiple execution resources
Coordinate requirement review/interpretation
Support test script development, data conditioning, mapping scripts to defects
Ability to prioritize and balance multiple priorities and projects
Provide metric reporting
Assist/Support Management Team whenever is needed
Host and facilitate meeting with business customers
Deliver presentations at different levels of the organization

Requirements

Required Qualifications:

High School Diploma, GED or Associates degree in Business, Finance, Health Administration or related field
7+ years of experience in business/finance analysis
Intermediate level of proficiency with PC based software programs and automated database management systems (Excel, Access, PowerPoint)
2+ years' experience in claims processing in COSMOS application environment, Understand benefit structure, how claims are adjudicated
Experience with different claim types
Understand how to make adjustments in COSMOS
Demonstrated process improvement, workflow, benchmarking and/or evaluation of business processes
Excellent communication, time/project management, problem solving, organizational, and analytical skills
Strong Experience with output: 835, PRAs and EOBs
Preferred Qualifications:

Bachelor's degree in Business, Finance, Health Administration or related field
Host and facilitate meeting with business customers
Deliver presentations at different levels of the organization
Working knowledge of relational databases and database structures
3+ years of experience processing facility claims
 
 
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
Diversity creates a healthier atmosphere: 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: user testing, lead analyst, business analyst, QA, COSMOS, healthcare, claims, Hartford, CT, Connecticut, telecommute, telecommuter, telecommuting, remote, work from home