Senior Business Process Analyst - Telecommute

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:

Function as OptumInsight business analyst focused on implementation and support of clinical editing into the EDI stream
Understand strategic priorities and define effective solutions that support business priorities - think strategically to positively impact tactical delivery
Be a change leader - effectively engage and partner with cross-functional teams to define requirements
Anticipate customer needs and proactively define solutions
Recognize gaps between current situation and desired outcome and utilize appropriate resources to obtain information, consider solutions and deliver the solution
Serve as a point of contact with cross functional partners and clients
Work with cross functional partners in Technology, Operations, Training, Reporting, and Quality to identify system requirements and execute on client needs
Ensure deliverables are met within scope & timeframe
Effectively function in a multi-project environment with changing priorities
Demonstrated ability to work with cross-functional teams in a geographically dispersed workforce

Required Qualifications:

5+ years of Clinical Editing experience
5+ years of healthcare experience
5+ years of experience in product lifecycle, business analysis and design
2+ years of experience in a leadership role
3+ years of gathering / documenting business requirements and technical specifications
Effectively manage multiple client projects and issues in a timely and efficient manner
Proven organizational skills with ability to be flexible and work with ambiguity
Proven ability to quickly learn new applications, processes, and procedures
Display a high degree of motivation and the ability to work independently
Proven ability to work in a team environment
Excellent oral and written communication skills
Proven experience in client implementations, operations, and support
Collaborate with technology stakeholders to identify, document and communicate business and technical requirements
Experience with testing business software applications
Ability to run test cases, document results, and document defects
Working knowledge of Microsoft Applications and SQL Navigator
Preferred Qualifications:


A Bachelors Degree in Business or Healthcare Administration is highly desired
Strong understanding of hospital billing and workflow
Healthcare industry knowledge from the provider and payer side
In depth knowledge of the Healthcare EDI transactions & testing experience for EDI x12 837P, 837I and 837D (claims), 835 (remittance) 270/271 (eligibility/benefits), 276/277 (claim status)
Ability to read and understand complex file layouts including x12 4010 and 5010
Experience with the Software Development Lifecycle (SDLC)
 
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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: 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 analysis, process analysis, business analyst, clinical editing, healthcare, lifecycle, leadership, EDI, billing, telecommute, telecommuter, telecommuting, remote, work from home