Data Analyst Claims Operations

UnitedHealth Group•Tampa, FL

18h•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. 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. We are actively seeking to fill a position for a Senior Data Analyst within the System Resolution Team (SRT). SRT is a dedicated OptumRx team providing technical and business expertise in RxClaim system function resolution activities to support Medicare Part D, Medicaid, HIX, and Medicaid Subrogation CMS / Regulatory Compliance needs through claim remediation and internal quality goals.

Requirements

High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
2+ years of experience with data/system analysis and/or design responsibilities
2+ years of experience developing and maintaining SQL
Intermediate proficiency using Microsoft Word and Microsoft Excel (formulas, vlookup, pivot tables)
Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends especially during benefit year transition periods (December 25th - January 10th)
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

RxClaim operational experience
Batch Claim Remediation experience
Pharmacy Benefits Management industry experience
Experience developing system requirements and/or test plans
Programming experience – iSeries-AS/400, Cobol, and CL
Medicare Part D, Medicaid, HIX, and Medicaid operational knowledge

Responsibilities

Research and Impact analysis - requires creating and executing queries using SQL/scripting
Deliver accurate and timely end to end system defect resolution in RxClaim
Perform complex independent and collaborative research on root cause determinations and system defect resolution
Solves complex problems and works with IT to review development solutions
Perform complex conceptual analyses of system issues
RxClaim User subject matter expert with primary focus on Medicare part D