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Hours Full-time, Part-time
Location Maitland, FL
Maitland, Florida

About this job

You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health care. Does the challenge intrigue you?
 
In this role, you will be responsible for troubleshooting issues, and using your ability to analyze data and to present analysis in a format that is relatable to interested parties. You will be responsible for determining best solutions and moving from concepts to processes. You will use your expertise to problem solve/research issues to completion. You will also collaborate and work cross-functionally in a matrix environment. Join us! There's never been a better time to do your life's best work.(sm)
 
This will be a telecommuting role.
 
Primary Responsibilities:

Understanding of the objective for each key program initiative
Ability to understand the issue or need and provide a solution to meet the need with minimal direction
Responsible for trouble-shooting issues, ability to analyze data and to present analysis in a format that is relatable to interested parties
Drives the implementation of new or improved processes and solutions as needed; this can include scheduling meetings, documentation and training
Ability to coordinate testing and post production validation
Responsible for problem solving situations that may fall outside of the traditional support provided
Ability to understand the core reasons and provide a plan for resolution
Understanding the project design and implementation plan to be able to conceptualize and put into practice 
Ability to assist with implementation and support initiatives by understanding project management basics which would include requirements, designs, testing and execution
Ability to work collaboratively and influence across a matrix environment
Demonstrates knowledge related to querying data from various reporting systems and understands the relationship between various data points

Requirements

Required Qualifications:

Undergraduate degree or equivalent experience
3+ years of health care experience working with claims data and medical codes
3+ years of experience in claims operations, including provider interaction, clinical policies, clinical editing
5+ years of work experience in a corporate setting
3+ years of experience with data analysis
3+ years of experience gathering requirements from the client/business and documenting those requirements
3+ years of e experience with process improvement, workflow, benchmarking and / or evaluation of business processes
Intermediate level of proficiency with PC based software programs and automated database management systems required (Excel, Access, PowerPoint)
Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally
Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data
Preferred Qualifications:

Claims operations experience
Network management background
Clinical background or experience working with clinical
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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: health care, healthcare, business analyst, claims, provider, data analysis, network management, clinical, Maitland, FL, telecommute, telecommuter, telecommuting