Sr. Business Analyst- C&S Maryland - Remote in EST Time zone (MD Preferred)

UnitedHealth Group•Columbia, MD

2d•$72,800 - $130,000•Remote

About The Position

The Senior Business Analyst for C&S Maryland supports the health plan’s relationship with state regulators by managing complex state requests, escalated member and provider issues, and oversight of delegated entities and external vendors. This role applies advanced analytical skills, operational expertise, and regulatory knowledge to resolve non standard issues, support audits and state fair hearings, and ensure compliance with Medicaid requirements. The Senior Business Analyst operates independently, leveraging extensive knowledge of health plan policies, processes, and regulatory obligations to analyze problems, develop solutions, and drive timely resolution of escalated issues while fostering solid collaboration with internal and external stakeholders. If you are located in EST, you will have the flexibility to work remotely as you take on some tough challenges. Preferred for candidates to be located in Maryland due to quarterly in person meetings.

Requirements

3+ years of experience as a Business Analyst or in customer service or operations leadership
Experience gathering business or client requirements and documenting them clearly and concisely
Demonstrated ability to research data, interpret policies or regulations, and resolve moderately complex issues
Intermediate proficiency with PC based software and database tools, including Excel and PowerPoint
Proven excellent written and verbal communication skills, with the ability to present complex information clearly and concisely
Proven solid organizational skills and ability to manage multiple priorities independently
Reside in EST time zone

Nice To Haves

Healthcare industry experience, particularly in a managed care environment
Experience with Medicaid regulations and/or health plan policies and procedures
Experience supporting delegated entity oversight, audits, fair hearings, or regulatory complaints
Reside in Maryland

Responsibilities

Assess, investigate, and resolve state customer requests, complaints, and inquiries, including escalated member issues, in accordance with Medicaid regulations, state contracts, and internal policies
Coordinate state fair hearings, including documentation coordination, case tracking, response preparation, and collaboration with internal and external stakeholders
Support oversight, and meeting facilitation for delegated entities and external vendors, including document collection, issue tracking, discussion of performance metrics, compliance findings, corrective actions, and operational updates
Serve as a lead resource for internal escalated issue resolution, coordinating cross functional stakeholders to ensure timely and effective outcomes
Foster and maintain collaborative relationships with state agencies, internal teams, delegated entities, and vendors to support operational performance and regulatory compliance
Prepare and present analyses, findings, and written responses for oversight committees, audits, state submissions, and regulatory inquiries
Analyze operational and regulatory data to support business planning, compliance, and development of solutions to complex operational and process issues