We are the largest health benefits company dedicated to providing diversified solutions to states that care for the economically disadvantaged, the medically underserved and those without benefit of employer-funded health care coverage. Community & State participates in programs in 26 states and serves approximately four million beneficiaries of acute and long-term care Medicaid plans, the Children's Health Insurance Program (CHIP), Special Needs Plans and other federal and state health care programs. Our mission is to help the people we serve live healthier lives, and our goal is to be the plan of choice Community & State Encounter team has oversight of complete, timely and accurate encounter submissions to state partners. This includes working with health plans and states on process improvements, implementing new requirements and analyzing current production results. This role will part of a team working on a specific state's encounter submission performance. Primary Responsibilities:Financial completeness, contractual performance metric and submission statistic report creation and analysis Identify and document member, provider and / or claim process changes needed to improve encounter results Support short and long term operational / strategic business activities through analysis Work with the IT Department to monitor production process and implement system changes to meet state requirements
Required Qualifications:Bachelor's degree in Business, Finance, Health Administration, or related field 2+ years of experience in business and / or finance analysis 2+ years of experience in data analysis Intermediate or higher level of proficiency with Excel and Access Preferred Qualifications:Working knowledge of relational databases, database structures (experience with SQL) Claims experience Excellent communication, time / project management, problem solving, organizational, and analytical skills Ability to problem solve including multiple priorities and research conflicting and / or inaccurate data Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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. Job Keywords: Sr. Business / Data Analyst, Finance, Analysis, Data, SQL, Minnetonka, MN, Minnesota
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.