Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.Positions is responsible for end-to-end business process activities - creating, controlling and improving business processes. Leads process design and project implementation teams in process improvement activities. Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools.Primary Responsibilities:The following duties cover what are generally believed to be principal and essential functions of the job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.

• Mandate understanding of Jacada, HPDB, Mainframe (BWAA, GJBB and GJAH etc)
• Able to adjudicate claims on mainframe environment
• Work closely with stake holders to identify issues with their processes and come up with innovative solutions to increase efficiency and accuracy in the process
• Execute a data drive, statistical approach to problem solving, which includes gathering, analyzing and reporting data
• Responsible for providing research and root cause analysis for claim auto release
• Create and edit requirements, specifications, and recommendations to proposed solutions and facilitate development of process documentation
• Create or maintain documentation and processor tools to support claim process
• Conduct claim research and analysis and make recommendations for auto adjudication
• Analyze large amounts of information to discover trends, patterns and insights
• Participate in business brainstorming session and drive solution approach for a given problem at hand
• Ability to work well both independently and within a team in a deadline driven environment
• Ability to take responsibility and deliver projects
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Job Requirements/Working Conditions:

• Work is performed in a hybrid office environment in different Shift (10:30AM to 06:00AM)

Eligibility
To apply to an internal job, employees must meet the following criteria:

• Minimum duration of 12 months of continuous service in their current grade and position
• Performance rating in the last common review cycle of \xe2\x80\x9cMeets Expectations\xe2\x80\x9d or higher
• Not be on any active CAP (Corrective Action Plan) or active disciplinary action

Required Qualifications:

• Graduate
• Experience 3+ years
• Location: Noida
• Job Function: IT / Healthcare- Business Analyst
• Industry: Healthcare
• Specialization: Healthcare/ IT/other
• Microsoft SQL Server - Query Level and understanding of Relational Database Structures
• Intermediate knowledge of MS Project, Access, Word, Excel, PowerPoint, SharePoint, and Visio
• Understanding of VB based macro on mainframe

Competencies, Knowledge, Skills and Abilities:

• Proven effective Analytical, written and oral communication skills
• Ability to set priorities, multi-task, self-motivated
• Knowledge of group product lines and Corporate Operations
• Ability and willingness to accept and work in a changing environment
• Ability to work well in an environment with high standards for quality and turnaround with minimal supervision
• Possess solid interpersonal, presentation skills and excellent communication skills; the ability to facilitate collaboration and influence among multiple audiences - business, technology
• Motivated, self-directed, aptitude for learning new technologies; Ability to work on multiple efforts simultaneously
• Proven high level of commitment, initiative, vision and enthusiasm
• Ability to provide guidance and mentoring to junior developers, carries positive attitude and is effective contributor

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone\xe2\x80\x93of every race, gender, sexuality, age, location and income\xe2\x80\x93deserves 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 \xe2\x80\x94 an enterprise priority reflected in our mission.

UnitedHealth Group