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Data Analyst - National Remote

Optum
401(k)
Apr 22, 2025

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.

Positions in this function conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending and presenting information for operational and business planning. They support short and long term operational/strategic business activities by developing, enhancing and maintaining operational information and models. They also develop and implement effective/strategic business solutions through research and analysis of data and business processes.

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

Primary Responsibilities:



  • Responsible for working in conjunction with payment integrity matrix partners to create, test, deploy and maintain SQL algorithms to data mine member and claims data for clients
  • SIU Flag deactivation, modification, reactivation
  • Monitoring flags in production and in info mode
  • Assist on client calls and serve as subject matter expert on all data fields, values, and adjustment logic for SIU flags or other rules
  • Focus on driving productivity and quality to aid business partners in achieving and exceeding monthly goals
  • Organize and execute multiple recurring and adhoc tasks and projects at the same time
  • Update SOP documents for each new rule and maintenance of existing flags/rules
  • Monthly analysis of flag/rule performance; forecasted vs. actuals
  • Create weekly management reports outlining work completed and issues encountered
  • Maintenance of existing automations and screen scrapes
  • Collaborate on application architecture design, enhancements, and decision-making
  • Use metrics and excellent time management skills to ensure business objectives and goals are met



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:



  • 1+ years of experience in Analytical role using a RDBMS such as MS SQL Server, Oracle, or MySQL
  • 1+ years of experience with project methodology (requirements, design, development, test and implementation)
  • 1+ years of root cause analysis and trending through data analysis Experience providing evaluations, benchmarks and/or process improvement recommendation
  • Experience with technology defect management, enhancements and agile life-cycle understanding
  • Health plan / health care claims or clinical operations experience
  • Experience gathering requirements from the client / business and documenting
  • Intermediate level of proficiency with PC based software programs and automated database management systems (Excel, Word, Outlook, PowerPoint, Visio and Access)
  • Solid verbal and written communication skills to share trends and opportunities to clients and the business in writing and verbally across programs and clients
  • Proven ability to update SQL tables as needed
  • Demonstrated ability to maintain understanding of numerous client processes in a distributed environment
  • Proven ability to create and maintain business required documents for SIU Flag requests
  • Demonstrated ability to problem solve for multiple priorities and research conflicting and/or inaccurate data



Preferred Qualifications:



  • SIU Flag creation/management process experience
  • OCR platform experience
  • Client-facing experience with meeting facilitation
  • Certified Coder in ICD 10 and ICD 9
  • Lean Six Sigma (Green Belt/Kaizen)



*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO

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