Clinical Claims Analyst - Telecommute

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Compile and analyze complex data sets
• Mine and Prepare data for review at various levels of leadership
• Develop analyses and interpretation for operational and business review and planning
• Develop recommended business solutions through research and analysis of data and business process and implement when appropriate
• Have a high degree of individual responsibility and able to quickly become a data expert
• Proactively troubleshoot data quality issues by identifying root cause of data discrepancies and determining and implementing recommendations for resolution
• Design technology solutions for data load and reporting functions

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Bachelor’s degree 
• SQL experience 
• 2 years of experience analyzing and identifying issues and finding resolutions
• 2 years of experience with Microsoft Excel (creating and maintaining spreadsheets), Word (creating and maintaining documents)
• 2 years of experience collecting data and defining cost benefit analysis for projects
• Experience in the production of regular and ad hoc reports
• Experience working with Medicare and Medicaid
• Understanding of claims (facility and professional) 

Preferred Qualifications:

• 2 years of experience with Visio (create and edit diagrams), and PowerPoint (creating presentations) 
• 2 years of experience in developing process maps and requirements document
• 1 years of experience in developing process maps and requirements document
• 1 years of experience working in multiple systems simultaneously

Soft Skills:

• Experience working in a team-oriented, collaborative environment
• Contribute to a positive work environment by influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
• Ability to problem solve issues; including multiple priorities and research conflicting and / or inaccurate data
• Solid customer orientation, communication (written / verbal) and presentation skills
• Solid analytical mindset and problem-solving skills
• Excellent communication, time management, problem solving, organizational, and analytical skills
• Self-starter with solid verbal and written communications combined with technical acumen
• System/process oriented, hands-on problem solver with ability to manage multiple, complex initiatives
• High attention to detail and proven ability to manage multiple, competing priorities simultaneously
• Ability to appropriately set expectations and explain risks and tradeoff decisions
• Ability to comprehend project scope and requirements across a wide set of initiatives; able to ask clarifying questions as needed to ensure thorough understanding of project material
• Solid presentation and interpersonal skills 
• Solid written, technical documentation and oral communication skills
• The ability to work in a methodical and logical approach

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.