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Senior Business Analyst - UHC C&S - ABD, LTC - Honolulu, Hawaii

Company: UnitedHealth Group
Location: San Diego
Posted on: November 26, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Position in this function works with the analytics and operations team on various projects, or continuing operations, requiring both automated and manual investigation of issues such as: membership, revenue reconciliation, claims processing and medical expense, and provider network.

If you are located in Honolulu, Hawaii, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:


  • Create and modify operations and clinical recurring and ad-hoc data using Oracle, SQL Server, SSIS, and various Business Intelligence (BI) tools such as SMART Analytics, Integration Services, Analysis Services, Reporting Services, or Tableau and Business Objects
  • Collaborating with internal and external report owners to ensure reports are prepared timely, accurately and completely
  • Works with and validates enrollment, claims, reimbursement and expense, provider and clinical data
  • Evaluates and presents information in a manner that will facilitate management's understanding of the results and impact
  • Effectively gathers and analyzes data for trending, tying data to business operations and making recommendations for action
  • Develop and manage data mining and data pulls from multiple data sources into designated SQL servers, Access, and Excel
  • Analyzed data and created business reports, including design and development of multiple service management and regulatory reports and dashboards, utilized automated updates, dynamic charts, formulas, and parameterized reports


    Requirements
    To be considered for this position, applicants need to meet the qualifications listed in this posting.


    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:


    • BA / BS in business or specialty of functional area or equivalent experience
    • 3+ years of experience in collecting, analyzing and presenting data and recommendations to management
    • Experience in process/workflow documentation and ability to evaluate business processes and identify opportunities for improvement
    • Experience creating and presenting technical information verbally and in written form
    • Solid proficiency Oracle queries, MS SQL server queries, stored procedures, database design, SSIS, and skills in writing Excel/Access VBA
    • Solid proficiency in Business Intelligence software and setting up reports from BI tools, including Integration Services, Analysis Services, Reporting Services, or Tableau


      Preferred Qualifications:


      • Healthcare experience within a managed care and / or hospital setting
      • Data analysis, cost management and trending experience
      • Knowledge of clinical indicators, measures and terminology
      • ETL and SSIS knowledge
      • Programming skills: SQL, C#, angular, java scripts
      • Demonstrated critical thinking and decision-making skills
      • Demonstrated ability to prioritize and manage multiple tasks
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation



        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 at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

        All employees working remotely 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 , Senior Business Analyst - UHC C&S - ABD, LTC - Honolulu, Hawaii, Professions , San Diego, California

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