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Business Data Operations Analyst, Medicaid Health Plan of Idaho
About the position At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Business Data Operations Analyst is responsible for conducting analysis to prevent and solve problems in the market. This role will partner closely with Health Plan leadership and operational leaders to identify trends, conduct gap analysis, identify root causes, and collaborate to remediate. The Business Analyst will use their solid business analysis skills to gather the necessary requirements for successful business changes and issue resolutions. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Responsibilities • Conducts analysis to reactively and proactively identify opportunities for member and provider satisfaction, regulatory adherence, and arenaflex avoidance • Translates feedback from providers, regulators, and team members into the appropriate actionable criteria • Conducts research based off analytical findings to identify and remediate root cause(s) • Initiates and oversees claim projects and works with cross-functional team members and leaders through completion • Collaborates with technology stakeholders to communicate business and technical requirements • Gathers all information needed to define requirements and intended future state • Understands and communicates all project steps needed towards remediation • Informs operational leaders of identified gaps to enable coaching and gap closure • Serves as a liaison between the plan and various functional areas • Solves moderately complex problems and/or conducts moderately complex analyses • Works with minimal guidance; seeks guidance on only the most complex tasks • Tracks issues and resolutions to maintain documentation and to enable visibility • Defines and, at times, conducts testing or quality assurance plans for business changes • Collaborates with leadership to prioritize projects • Identifies and engages appropriate resources to complete projects Requirements • 3+ years of hands-on operational experience, including experience with CSP Facets claims tools • 3+ years of business analysis experience with demonstrated ability to gather undefined or unclear requirements utilizing solid probing skills • 2+ years of experience with process improvement, workflow, benchmarking and / or evaluation of business processes • Experience using front-end reporting tools such as Orbit • Intermediate to advanced level of proficiency with arenaflex Office Suite (Excel, Word, PowerPoint) • Demonstrated excellent communication skills and ability to communicate complex concepts to a cross-functional audience • Driver's License and access to a reliable transportation Nice-to-haves • 2+ years of SQL experience • Health plan operations experience • Medicaid and/or Medicare experience • Intermediate level of proficiency with Visio Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job
