Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Are you up for navigating a complex matrix of business units and teams? We share a near obsessive desire to outperform and outdo our own achievements across our entire global business landscape. It's going to take all you've got to create valuable solutions to improve the health care system.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Support Payment Integrity team members with development, implementation and maintenance of operational/savings reports and dashboards; ensuring resources are accurate, up-to-date, and can be analyzed to reveal critical insights applicable to strategic initiatives
- Produce detailed reports for the Payment Integrity pillars
- Extract critical and pertinent information from the data sets that help the stakeholders understand optimal outcomes
- Effectively process and integrate primary and/or secondary data sources using various data sources (SQL, Snowflake, PBI Dataflows)
- Develop effective quality control processes to ensure data integrity
- Utilize data analytics to uncover critical business insights and findings
- Possess the aptitude to quickly learn software platforms such as MS SQL Server, Power BI, and other BI tools
- Perform ad-hoc analysis to quantify and prioritize potential savings opportunities
- Support the triage of PI referrals from local markets, HCE, Clinical Affordability in order to assess risk
- Extract critical and pertinent information from the data sets that help the stakeholders understand optimal outcomes
- Ad hoc support for stakeholders and Payment Integrity needs
- Performs all other related duties as assigned.
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:
- 3+ years of database experience and ability to effectively map data, as well as run advanced
- 3+ years of experience with data visualization tools
- 2+ years of experience working in the health insurance industry; with knowledge of health insurance claims and/or various payment methodologies
- Ability to manage 4-5 intermediate to complex analytical projects at one time
- Experience managing meetings and negotiating with a diverse audience to align on scope and priority of outcomes for assigned projects
- Demonstrated adaptability, adjusting priorities and shifting focus quickly
- Experience with SQL queries to analyze large complex data sets and troubleshoot
- Advanced experience with Microsoft Office suite of applications
- Advanced Excel experience (creating pivot tables, writing functions, and formulas)
- Proficiency in writing efficient SQL queries (joins, unions, subqueries, CTEs)
Preferred Qualifications:
- Proficiency in generating extracts from SSMS or DBeaver
- Experience with ETL (Snowflake, Fabric, Azure)
- Experience working with federal healthcare contracts
- Experience with reporting and analytics tools (such as SSRS, SSIS, SSAS, etc.)
- Experience with Power BI platform (such as data flows, data modeling, reporting, dashboards, service administration, DAX, M, etc.)
- Payment integrity experience specifically in terms of identifying opportunity
- Proven solid written and verbal communication skills, including the ability to communicate results of data analysis to a variety of stakeholders
- Excellent analytical and problem-solving capabilities with special attention to accuracy and detail
- Ability to support Pacific Time Zone and/or location in California (or vicinity)
- Reside in California
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
