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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The United AMS Business Analyst role requires a highly flexible and adaptable analyst with the ability to manage periods of stress and/or heavy workloads. Solid experience as a Business Analyst or similar role is needed, along with demonstrated experience with healthcare claims or Medical /Drug/ reimbursement policies. The BA must have the ability to not only facilitate highly charged meetings but also negotiate and drive to effective solutions, while independently producing detailed business requirements and other required supporting materials. Candidates must possess solid analysis and critical thinking skills as well as the ability to find out of the box solutions. This position requires persuasive communication skills with ability to liaison between technical and non-technical personnel. The ability to adeptly navigate ever changing priorities is also a key skill of the ICH BA. Additionally, the role requires each BA to become a Policy/Edit Subject Matter Expert and supply end user training on the functionalized policies. BA additionally performs data maintenance, loading, QA and auditing of all updates. The BA primarily works independently; however it is also expected to work collaboratively across teams and the organization to support our client's needs and meet their affordability goals.
Primary Responsibilities:

• Define and document business processes and projects
• Consult with business departments to identify requirements
• Present and evaluate solutions objectively and facilitate conflict resolution
• Define project scope and objectives
• Model business processes (current and future)
• Evaluate system changes for downstream system and/or organizational impacts
• Prioritize and track all defects/issues to resolution
• Escalate defects/issues to the Manager as appropriate
• Provide agendas and follow up with meeting minutes
• Work with the business to identify minimum performance expectations and service levels
• Build and maintain working relationships with all stakeholders and varying levels of the organization
• Validate that all functions perform according to the relevant specifications
• Acquire and maintain working knowledge of multiple platform specific knowledge, customer customizations, databases, file systems and architecture that support the application
• Facilitate and or assist with group meetings via teams and telephonically
• Manage small to large projects from submission n through implementation
• Manage and Maintain inventory tracking tools
• Project Management of all projects / changes, defects
• Ability to perform accurate and efficient Data Maintenance on large volumes of system edits from request receipt to implementation to production (Analyze, validate, load/QA/audit of data via tools or excel comparisons)
• Develop strategic and out of the box solutions
• Manage organizational changes
• Comply with the Software Development Lifecycle (SDLC) and agile Methodologies
• Provide required problems and status and time reporting
• Conduct User Acceptance Testing
• 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

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

• SG 25 & 26 can apply

• SG 25 will move to SG 26
• SG 26 will move laterally as per AMP policy
• Performance rating in the last common review cycle of "Meets Expectations" or higher
• Not be on any active CAP (Corrective Action Plan) or active disciplinary action

Time in Role Guidelines

• You will need to have been in current position for a minimum of 12 months for applying for a new position

• If you have not been in your current position for at least 12 months, you should discuss your career interest with your manager, and, if you and your manager agree, you may submit your application
• The time-in-role in requirement does not apply if your current position has been eliminated; your application will reflect your position has been eliminated and you will be considered among all internal candidates
• Early Career roles are designed to provide a structured program that is focused on professional development curriculum and may have longer time in role guidelines to complete the entirety of their program. To see time in role requirements by program, visit:

Required Qualifications:

• Bachelor's Degree in any discipline
• 6+ years of experience as an associate business analyst or systems analyst OR 5+ years in an iCES/ CES QA or software development role
• 5+ years of experience in healthcare industry
• 5+ years of experience gathering/ writing business requirements, Data Maintenance, Data Scrubbing/File Compares/Analytics
• Advanced Skills with Teams, PowerPoint, Word, Excel, Access, SharePoint, iCES & CES
• Proven solid analytic, technical and problem-solving skills, critical thinking
• Proven excellent oral and written communication skills
• Proven ability to manage high volumes of work including execute complex file compares, data analytics, high volumes of work, manage high stress periods of work

Preferred Qualifications:

• CPC, IIBA etc.
• 6+ years of experience with healthcare reimbursement (Reimbursement/Medical/Pharmacy Policy)
• Coding experience or certified coder
• Experience with iCES, CES, Content Manager, Cosmos, Adjudipro, TOPS/UNET, Service Now, SharePoint, KL, PCFM, M&R, Facets, SQL and DSNP experience

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.