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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Data Analyst
Location
United States
Posted
20 hours ago
Salary
Not specified
No structured requirement data.
Job Description
Role Description
We are seeking a Data Analyst to help support operations for our growing implant and high-cost drug audit business. In this position, you will play a key role in supporting audit reviews through various parts of their lifecycle by:
- Assisting clinical staff
- Communicating with internal and external stakeholders
- Interacting with client systems
- Writing SQL code
- Researching contracts
- Repricing claims
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Validate claims against various factors to prepare them for audit scheduling
- Reprice claims and load audit results into client systems
- Prepare claims for offset and handle collection and appeal questions
- Review contracts for audit opportunities and update contract details in our database
- Assist clinical and support staff with claim-related questions
- Use existing SQL code and write custom SQL code to answer questions, produce reports, and move claims through the audit lifecycle
- Produce reports with SQL and Excel for internal and external stakeholders
Qualifications
- High School Diploma or equivalent
- 2+ years of experience in Data Analysis
- 2+ years of experience with SQL (e.g. queries, joins, group bys, etc.)
- Demonstrated intermediate level ability with Excel (e.g. formulas, sorts, VLOOKUP, etc.)
Requirements
- Accuracy and attention to detail
- Excitement about working with a team of other analysts
- Willingness to grow as a coder and go the extra mile to understand and solve problems
Preferred Qualifications
- 2+ years of experience in a healthcare or health insurance setting with knowledge of HIPAA requirements
- Contract and/or regulatory experience
- Experience using proprietary client systems
- Experience working on large data sets
- Proven effective communicator with good interpersonal and communication skills
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
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.
Job Requirements
- High School Diploma or equivalent
- 2+ years of experience in Data Analysis
- 2+ years of experience with SQL (e.g. queries, joins, group bys, etc.)
- Demonstrated intermediate level ability with Excel (e.g. formulas, sorts, VLOOKUP, etc.)
- Accuracy and attention to detail
- Excitement about working with a team of other analysts
- Willingness to grow as a coder and go the extra mile to understand and solve problems
- Preferred Qualifications
- 2+ years of experience in a healthcare or health insurance setting with knowledge of HIPAA requirements
- Contract and/or regulatory experience
- Experience using proprietary client systems
- Experience working on large data sets
- Proven effective communicator with good interpersonal and communication skills
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
- 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.
