Senior Business Analyst - Multiple locations or Telecommute

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?As a key member of the Analyst team, you will be part of UnitedHealth Group's mission of helping people live healthier lives. As a Senior Business Analyst, you will grow and develop as you conduct and manage outcomes of various studies. You will be challenged to analyze, review, and forecast data for operational and business planning. As part of this elite team, you will be empowered to impact the health care system through the analysis and interpretation of data, and presenting recommendations for business solutions. Join us! There's never been a better time to do your life's best work.(sm)The OptumHealth Behavioral Solutions (OHBS) PNI Data Reporting Analyst position requires a strong analytical skillset, data analysis and healthcare claims expertise (HCFA/UB). The role is responsible for utilizing all data mining tools (i.e. SQL, Tableau, Self Service, Excel, etc.) to complete complex healthcare data queries to identify aberrancies, trends, outliers within claim data. The individual is expected to use multiple data sources to identify internal and industry trends, validate abnormalities and work with others in PNI or Leadership to assist in launching / completing investigations as necessary. The individual will work closely with team members and cross business groups to run ad hoc queries / reports and identify target trends / areas for potential opportunity and savings. This position serves as a resource on claims data, fraudulent schemes and analytics development in the PNI for Accountability.
 
Primary Responsibilities:

Complete analysis on upcoming trends, schemes, or cases
Outline requirements on new / existing analytics
Act as a resource for Claims / Case research pertaining to Fraud, Waste and Abuse
Provides explanation and interprets data within Fraud & Abuse
Uses pertinent data and facts to identify and solve a range of problems within area of expertise
Works in collaboration with the team to identify and solve data needs
Organizes sorts and filters data in order to distinguish patterns and recognize trends
Develops and maintains data preparation and validation routines to support data mining and has experience in creating complex data mining algorithms
Selects, recommends and applies appropriate analytic and statistical methodologies and techniques to execute against an analysis plan or research objectives
Evaluates new analytics tools and methodologies for possible deployment
Creates data warehouses / marts and / or develops data mining analyses to support business decisions
Solves moderately complex problems and / or conducts moderately complex analyses
Works with minimal guidance; seeks guidance on only the most complex tasks
Provides explanations and information to others on difficult issues
Coaches, provides feedback, and guides others
Acts as a resource for others with less experience

Required Qualifications:

3+ years of experience in healthcare with some of this time working with behavioral health claims
Knowledge of Medicare, Medicaid and / or Commercial health plans
Strong understanding of  health care claims data elements
Minimum of 3 year experience using and developing SQL queries
4+ years of experience in reporting and data analysis by creating and maintaining reports, queries and algorithms
Excellent communication skills (verbal and written)
Bachelor’s Degree or equivalent experience
Intermediate-Advanced level with Microsoft Office products, specifically Excel
Preferred Qualifications:

Experience with Data Warehouses and / or Data Marts
Experience with Tableau
Understanding of Fraud, Waste and Abuse industry and trends in the market
Experience with UNET, Facets and Cosmos Claims systems
Experience with Statistics
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, Medicaid, commercial health, Data warehouse, data marts, tableau, UNET, FACETS, COSMOS, Claims, statistics, data management, SQL,