About The Position

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. Positions in this function are responsible for the management and manipulation of mostly structured data, with a focus on building business intelligence tools, conducting analysis to distinguish patterns and recognize trends, performing normalization operations and assuring data quality. Roles in this function could partner with stakeholders to understand data requirements and develop tools and models such as segmentation, dashboards, data visualizations, decision aids and business case analysis to support the organization. Other roles involved could include producing and managing the delivery of activity and value analytics to external stakeholders and clients. Team members will typically use business intelligence, data visualization, query, analytic and statistical software to build solutions, perform analysis and interpret data. Positions in this function work on predominately descriptive and regression-based analytics and tend to leverage subject matter expert views in the design of their analytics and algorithms.

Requirements

  • 3+ years of SQL programming with the ability to perform effective querying
  • 2+ years of health care experience working with healthcare claims data
  • Mid-level to advanced experience in Excel
  • Proven analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
  • Proven solid written and verbal communication skills with the ability to explain complex data analysis results to non-technical stakeholders
  • Proven solid attention to detail with a focus on quality and accuracy
  • Demonstrated exemplary verbal and written communication skills in English
  • Ability to work 40 hours weekly from Monday to Friday during our regular business hours from 7am to 7pm (Overtime as business needs dictate)

Nice To Haves

  • Experience with SQL Server Reporting Services and SQL Server Integration Services

Responsibilities

  • Ability to distil criteria for data analysis
  • Experience analyzing large data sets
  • Assesses and interprets customer needs and requirements
  • Use pertinent data and facts to ideate, identify and solve a range of problems within area of expertise
  • Ability to communicate the outcome of this research in a manner suitable for the intended audience
  • Examine, assess, and document business operations and procedures to ensure operational efficiency and excellence
  • Ability to build relationships to increase velocity of concept conversion to identifications
  • Assesses and interprets customer needs and requirements
  • Identifies solutions to non-standard requests and problems
  • Solves moderately complex problems and/or conducts moderately complex analyses
  • Translates concepts into practice
  • Provides explanations and information to others on difficult issues
  • Review top denial reasons for training opportunities, potential rebuttals back to the client, and query enhancements
  • Create action plan with summary and claim details to ensure that all reporting, training and priority recommendations are delivered to Operation Management
  • Ensure that training is completed and feedback is received
  • Ensure that all needed production queries are enhanced accordingly
  • Other duties may apply

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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