For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

Oversees the planning, design, development, modifications, testing and deployment of all Health Plan regulatory/compliance reports used across Optum Mountain West, Oregon and Washington. Signs off on report prior to implementation for use Meets with decision makers and end users to define business, financial and operational requirements Develops appropriate recommendations related to findings and collaborates with management in the development of action plans where needed Conducts the training of Delegation Oversight System Support team in the reporting application, development and maintaining of reporting job aides used for training. Ensures development and maintenance of reporting job aides are accurate and current for training Liaison between I.T. and Medical Management teams for reporting needs, system issues, and development Oversees detailed management analytical studies to define deficiencies and identify solutions, which influence the utilization department’s effectiveness Oversees projects related to reporting and system development Directs the activities and ensures the accuracy and quality of Delegation System Support reporting Conducts ongoing review and analysis of Health Plan reports to ensure accuracy and change requirements due to process and/or system changes Conducts internal process reviews and/or gathers feedback from internal and/or external customers in order to identify opportunities to improve operational performance Reviews manual report packages to identify opportunities to automate reporting and/or eliminate redundancies Monitors and Supervises Delegation Support Reporting team. Sets priorities for the team to ensure task completion, answers questions from staff related to reporting and system issues and conducts training classes when needed for staff Signs off on employee timecards, approves PTO requests, conducts annual reviews, organizes and hosts staff meetings and/or 1:1 meetings for team members Conducts interviews for staffing positions Identifies and resolves operational problems, does write-ups of any disciplinary warnings or employee issues Reports to Director any information regarding reporting issues, system issues, compliance related issues, staffing issues

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:

High School Diploma/GED or higher 3+ years of experience in the Managed Care industry 3+ years of business analysis experience 1+ years of supervisory experience Intermediate level of proficiency in Microsoft Office products including Excel, Word and Access

Preferred Qualifications:

2+ years of experience in designing reports, reading SQL code Experience working with data extracts, queries and report writing Knowledge of medical terminology, ICD10, CPT, HCPC codes Familiarity with Capitated and FFS contract interpretations

 

Soft Skills:

Solid analytical, critical thinking and communication skills, both verbal and written Must be flexible Well organized Self-starter Team player Solid project management skills Ability to facilitate groups, meet deadlines and handle multiple priorities Logical and efficient with a keen attention to detail

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

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.

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.