Business Analyst Coordinator - San Antonio, TX

WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella. WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry leader in medical risk management, highly effective disease management and chronic care programs, healthcare delivery services and more. Our focus and mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. We are innovators in preventative healthcare, striving to change the face of healthcare delivery for seniors. Our providers and support staff are selected for their dedication to the senior population and focus on preventative, proactive patient care. The Business Analysis Coordinator is responsible for assisting claims, systems management and operations, and the IT department in the operation, maintenance, and performance of business operating systems. The Systems Specialist will also provide support of clinical and business office data processing functions. Primary Responsibilities:

Assists with performing data and root cause analysis of business / systems processes related to WellMed Member eligibility
Serves as first tier contact via ticketing system support in responding to and diagnosing application software support problems
Assists the Claims and Medical Management areas by providing support with regard to any eligibility verifications or issues
Works with Systems Specialist to load EDI eligibility data received from HMOs into system
Load and maintain member special status flags
Performs all other related duties as assigned

Required Qualifications:

High School Diploma or GED
Two or more years’ experience in a health care environment
Excellent customer service skills
Preferred Qualifications:

Experience with healthcare claims or eligibility
Bachelor’s degree in Business, Healthcare or related field (2 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's Degree)
Excellent organizational skills and attention to detail
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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, data analyst, requirements, system testing, claims, medical management, EDI eligibility, HMO, San Antonio, Texas, TX