Senior Business Analyst, Provider Operations

UnitedHealth Group•Eden Prairie, MN

6d•$72,800 - $130,000•Hybrid

About The Position

This hybrid business/technical position supports initiatives related to loading and monitoring provider data. The analyst participates in all phases of projects, from gathering requirements and developing processes to presenting and explaining results to customers. The role manages Medicaid provider enrollment data through loading, comparison, submission, monitoring, and recordkeeping; combines data from multiple sources; and independently manages assigned network processes. The analyst works with business partners on reporting and analysis, provider data loads and updates, process improvements, error remediation, and operational planning. The position also serves as a subject matter expert on provider data and departmental maintenance processes, helps colleagues use technology to improve workflows and accuracy, and stays familiar with current technology, including AI, within Optum’s technology framework.

Requirements

At least 3 years of experience in business analysis.
At least 3 years of knowledge in Microsoft Access, Microsoft Teams, and Microsoft SQL Server.
Understand data types and convert data between systems during import and export processes.
Identify matching data elements across systems when names or descriptions do not clearly indicate a match.
Use Microsoft Access as a front end for data stored on Teams, Microsoft SQL Server, and Oracle databases.
Develop Microsoft Access user interfaces for multi-table data sources to review and update data, including basic error checks and usability features.
Develop code to handle the full process from data import to reporting with minimal manual intervention.
Write moderately complex queries for data research and ad hoc reporting, including multi-table queries using full, left, and right joins; matched and unmatched queries; and summary and grouping queries.
Develop automation processes using batch files and platform-specific automation capabilities.
Transfer data among multiple formats, including delimited and nondelimited flat files, Microsoft Excel, Microsoft Access, and Microsoft SQL Server.
Know relational databases and table structure.
Research and learn independently without specific training or documentation.
Demonstrate strong deductive reasoning and problem-solving abilities.
Analyze root causes and identify solutions and next steps.

Nice To Haves

Experience using Microsoft SharePoint as a data-sharing platform with Microsoft Access and/or Microsoft SQL Server as a data source.
Basic knowledge of AI technology, with a focus on process improvement.
Knowledge of provider demographic data, especially Medicaid requirements such as NPI/Medicaid ID/address alignment, eligibility dates, provider type, and specialty.
Knowledge of Optum systems (OHBS Facets, NDB, CSP Facets) and pricing configuration in each system.

Responsibilities

Manage the full cycle of Medicaid provider enrollment data, including loading text files into database tables, comparing state data with current Optum network enrollment, submitting providers for load or update, monitoring data through system processes, and maintaining records to report workload and data trends.
Understand available data sources and determine how best to combine data from multiple sources and platforms.
Take ownership of assigned network processes and manage most aspects independently with minimal direction.
Work with business partners to design and perform ad hoc and recurring provider data reporting and analysis, and facilitate provider data loads and updates in response to business requests.
Lead the design and implementation of continuous improvements to provider data loading and maintenance processes.
Analyze provider data to identify and remediate errors and trends that could indicate larger system issues.
Participate as a subject matter expert in meetings with business partners, providing insight into provider data and departmental maintenance processes.
Present analysis and recommendations for operational and business reviews and planning.
Assist team members in using available technology to simplify workflows and improve data accuracy.
Maintain familiarity with new technology, including AI, to keep processes current and aligned with the Optum technology framework.