UnitedHealth Group Operations Business Analyst - Phoenix, AZ or Las Vegas, NV in Las Vegas, Nevada
Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best resources and tools in the world to help serve our members. You'll play a leadership role in a high volume, focused and performance driven call center where the goal is always to connect with members and enhance the customer experience. This is no small opportunity.
A Market Operations Business Analyst is responsible for first-level response and resolution of escalated issues with external and internal customers.
This role is equally challenging and rewarding. Within a high volume environment, you’ll need to model and act as an Ambassador for the company while solving complex health care inquires The Service Account Manager acts as a customer advocate to resolve escalated and complex issues.
Provide expertise and customer service support to members, customers and / or providers
Serve as the liaison to a complex customer base to manage first level response and resolution of escalated issues with internal and external customers
Identify and resolve operational problems using defined processes, judgment and expertise
Investigate claim and / or customer service issues as identified, and communicate resolution to customers
Provide feedback to team members regarding process improvement opportunities
Triage inquiries and requests received in the Market Operations group email box and submit an OEIM ticket, as appropriate. Analyst will support all Markets – 60% of Time
Prepares issues, trending, and reporting by collecting, analyzing, and summarizing complex data and metrics; present / explain findings and suggest enhancements and improvements
Manage non-escalated OEIM issues from receipt to resolution
Review operational processes to determine gaps and inefficiencies; raise issues to Operations Manager and / or respective Associate Director
Assist Associate Directors with requirement gathering sessions, when the local Markets are pursuing new initiatives and / or engaging in new projects that require support from operations, etc.
High School Diploma / GED or higher
Ability to work 8am-4:30pm Monday-Friday
2+ years of healthcare industry experience in claims processing, revenue cycle management, or reimbursement
3+ years of work experience in a corporate setting
Experience in business process/workflow analysis with a concentration in process improvement
Intermediate proficiency working with Microsoft Excel including formulas, trending, charts, graphs
1+ years of experience with project methodology (requirements, design, development, test and implementation)
FACETS software experience
Xcelys software experience
Requirements gathering and documenting experience
Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally
Ability to problem solve issues; including multiple priorities and research conflicting and / or inaccurate data
Strong customer orientation, communication (written / verbal) and presentation skills
Strong analytical mindset and problem-solving skills
Excellent communication, time management, and organizational skills
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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
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.
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