Data Analyst - Implant and High-Cost Drug Audit Team - Remote

UnitedHealth Group•Tampa, FL

1d•Remote

About The Position

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. We are seeking a Data Analyst to help support operations for our growing implant and high-cost drug audit business. Come join a talented team of data analysts, clinical auditors, and support staff who are helping to make healthcare more affordable! In this position, you will play a key role in supporting audit reviews through various parts of their lifecycle by assisting clinical staff, communicating with internal and external stakeholders, interacting with client systems, writing SQL code, researching contracts, and repricing claims. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma or equivalent
2+ years of experience in Data Analysis
2+ years of experience with SQL (e.g. queries, joins, group bys, etc.)
Demonstrated intermediate level ability with Excel (e.g. formulas, sorts, VLOOKUP, etc.)
Accuracy and attention to detail
Excitement about working with a team of other analysts, growing as a coder, and going the extra mile to understand and solve problems
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

2+ years of experience in a healthcare or health insurance setting with knowledge of HIPAA requirements
Contract and/or regulatory experience
Experience using proprietary client systems
Experience working on large data sets
Proven effective communicator with good interpersonal and communication skills

Responsibilities

Validate claims against various factors to prepare them for audit scheduling
Reprice claims and load audit results into client systems
Prepare claims for offset and handle collection and appeal questions
Review contracts for audit opportunities and update contract details in our database
Assist clinical and support staff with claim-related questions
Use existing SQL code and write custom SQL code to answer questions, produce reports, and move claims through the audit lifecycle
Produce reports with SQL and Excel for internal and external stakeholders