Senior Data Investigator - Nationwide Remote

UnitedHealth Group • Minnetonka, MN

160d • $59,500 - $116,600 • Remote

About The Position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As a Sr Data Investigator with us, you will monitor patterns of potential fraud, waste and/or abuse to ensure compliance and be closely involved in the investigation process. It will be a whirlwind, but it will also be the place where you can help make the health system work better with the support and resources of a Fortune 6 leader. If you call yourself a data guru, then you'll be perfect for this role. As you respond to inquiries, requests and actions, you'll need to be able to communicate research and data findings in a meaningful way. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Requirements

• Bachelor's Degree in a related area of study
• 1+ years of experience in creating and using data modeling tools, spreadsheets, and information acquisition tools
• Advanced level of proficiency with MS Excel (advanced formulas, pivot tables, macros, lists, statistical functions, etc.)
• Intermediate level of proficiency with MS Office (Word, PowerPoint and Outlook)

Nice To Haves

• Industry Certification (CFE, AHFI, CPC)
• Experience working in a government, legal, health care, managed care and/or health insurance environment in a regulatory, privacy or compliance role
• Experience communicating complex information via phone conversations and emails to non-technical clients, external customers, internal customers and executives
• Experience working independently and researching regulations
• SQL experience
• SAS and/or SAS EG experience
• VBA (visual basic for application) experience

Responsibilities

• Perform data analysis and generation activities for the fraud investigations team including data extracts, summaries, random sampling, and special projects
• Prepare Healthcare claims data for investigative business needs and work with investigations teams to better understand the content of the data sets
• Establish and implement standard policies, procedures, processes and best practices across the company to promote compliance with applicable laws and contractual obligations
• Support the collection of data for SIU (Special Investigations Unit) activities and generate routine regulatory and executive level reports for distribution
• Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products, processes and technologies
• Analyze and interpret data to identify trends, patterns and opportunities for the business and clients

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees