Think of this as a triple play. You have Fortune 6 global operations. You have a complex, matrix organization with dozens of interrelated business units. And you have a fast-paced, intense culture where everyone is pushing the envelope. Now, you can step into this challenge and help create new business process solutions that raise the performance of our health care system for years to come. As a Business Process Analyst, you'll be in the driver's seat on vital projects that have strategic importance to our mission. If you're ready to play in the big leagues, it's your move.
* Performs data analysis and validation on vendor coding results * Cross - functional collaboration with multiple teams and functions * Coordinate various projects for the Associate Director Quality Assurance Operations * Responsible for the collection of data, coordination and development of monthly reports on Quality Assurance, Accuracy and Productivity * Assist with maintenance of Job Aids and coordinate annual review and approval * Develop communications that ensure understanding of new or changed directives * Assist with creation and maintenance of Standard Operating Procedures and training materials for department * Assist with validation of data files (import/export) * Assist with validation/reconciliation of reporting metrics * Assist with creation of reports for business leadership * Identify opportunities to streamline processes, improving productivity and quality * Identify potential opportunities for current and future program focus * Maintain up to date knowledge of CMS guidelines and regulations * Perform all other duties as assigned
You won't be any ordinary Business Process Analyst. You'll be hitting on all cylinders every moment of every day. You will create process design, implement projects, diagnose process improvement opportunities and develop solutions in the quest for better health care. You'll be expected to quickly adapt to change in a very fluid environment and collaborate with multiple stakeholders to agree on solutions.
* Associates' degree or higher (may consider certificate program / completed college coursework with equivalent experience for degree) * Coding Certification required (CPC, CCS, CCS - P, or RHIT; the CPC - A is acceptable) * Medicare Risk Adjustment experience (HCC) * Experience in data validation, review, and analysis * Excellent organizational, problem solving, and critical thinking skills * Excellent verbal / written communication and interpersonal skills * Normal schedule M - F 8am-5pm with the ability to work a flexible schedule to meet business needs and accommodate meetings in various time zones as needed * Microsoft Office proficiency, Intermediate (Word, Excel, PowerPoint & Outlook) * Up to 5% travel (local, non - local meetings) * Must be able to continuously meet the requirements for a telecommuter, i.e. live in a location that can receive a UnitedHealth Group approved high speed internet connection, have a secure designated office space to maintain PHI, meet or exceed all performance expectations
* Bachelor's degree * CRC (Certified Risk Coder) in addition to required coding certification * 2 years' coding experience working in a provider's office or for a Medicare Advantage health plan * Proficient knowledge of CMS - HCC model and guidelines * Previous experience with WebEx or similar virtual meeting tools * Previous experience with data analysis and reporting * Previous experience using diagnosis coding data and trends to identify training opportunities
At UnitedHealth Group, we're more than 260,000 strong, moving fast and shifting gears to outpace the rate of change that's sweeping through health care around the globe. Come join us and challenge yourself to reach a new level. One that becomes your life's best work.SM
OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
Job Keywords: Clinical Coding Business Analyst,Telecommute, Telecommuter
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.