Research Analyst - Telecommute

Company: UnitedHealth Group
Location: San Diego
Posted on: June 25, 2022

Job Description:

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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing -your life's best work.(sm) - We have a position open for a Research Analyst to support the Optum Application Managed Services (AMS) Team. The AMS team engages in long term commitments and partnerships. -AMS provides full service operation to our clients with a proactive approach to business communication, growth and problem resolution. The AMS team partners with health plan clients to become an extension of their organization. The highly seasoned staff is dedicated to managing Claims Edit System (CES) as well as looking at where CES fits in the clients "Ecosystem". -AMS provides services that will help provide long term benefit for the client, not only direct savings and increased revenue but also savings in process, manual effort and other operational areas. This role can be based in Salt Lake City or is available to telecommuters. This Research Analyst role requires a highly flexible and adaptable individual to work independently, yet collaboratively, across various Optum teams and client organizations. The Research Analyst must have the ability to research complex issues and drive resolution. The successful RA candidate will have strong communications skills and the ability to liaison between technical and non-technical personnel. The ability to adeptly navigate ever changing priorities is also a key skill of the Research Analyst. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. - - Primary Responsibilities: -

• Support Optum medical claims editing system (CES) for AMS clients
• First point of contact for issues, questions and adhoc requests from our clients -
• Triage & document in Salesforce all incoming client issues
• Research and or troubleshoot unique and complex problems, perform root cause analysis, identify and implement resolutions
• Communicate 'known problems' to the CES team -
• Acquire and maintain working knowledge of multiple platform specific areas, customer customizations, databases, file systems and architecture that support the application
• Facilitate and or assist with group meetings via MS Teams and telephonically as needed
• Clinical query submission; Work with clinical development team to provide clinical rationale for system edits
• Defect Tracking; Work with users, system analysts, clinical developers and programmers to identify and remediate defects within CES functionality
• Configuration Changes in client environments
• Loading of LCD/NCD data files in client environments
• Evaluate system changes for downstream system and/or organizational impacts
• Contributor to AMS Community: Ask an Expert, provides feedback for updated content - works with lead/owner of the committee
• Work independently and be self-driven, but collaboratively in a team environment 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' experience in healthcare reimbursement and claims
  • 3+ years' experience in analyzing and solving customer problems -
  • 3+ years' experience using procedure/diagnosis coding knowledge
  • 3+ years' experience analyzing client business needs to help drive solutions -
  • Proficiency with MS Office, including Outlook, Word, and Excel - Preferred Qualifications:
    • Bachelor's degree -
    • Experience in Software support -
    • Experience with CES or Claims Manager Products -
    • Coding certification, such as CPC (Certified Professional Coder) or CCS (Certified Coding Specialist)
    • Exceptional interpersonal, verbal and written communication skills - -
    • Ability to manage multiple priorities and execute deliverables on time -
    • Highly motivated and innovative, with ability to work as part of a high performance team and independently - 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 $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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. -

Keywords: UnitedHealth Group, San Diego , Research Analyst - Telecommute, Professions , San Diego, California