10 days old

Manager, Business System Analyst - Fraud, Waste and Abuse- Telecommute - 930537

Atlanta, GA 30303 Work Remotely
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  • Job Code
    930537

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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"FADS (Fraud and Abuse Detection System) is a suite of complementary, web-based components that mine provider, member and claims data for potential fraud, waste and abuse; provide software research tools; and track subsequent investigation activity. The FADS team is comprised of individuals with a variety of technical expertise from database, business intelligence reporting, and web based tools. The FADS team is located in a North Atlanta suburb.
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The FADS team is looking for a strong manager able to lead a team of system business analyst in the support of fraud, waste and abuse detection with the FADS system. The manager will be involved in multiple projects, primarily operational support and assisting with requirements and acceptance of implementations. This individual must have the ability to collaborate with internal technical roles including data engineers, software engineers and report developers. Technical knowledge includes familiarity with database structures, testing software, documentation procedures, User Manual formats and ability to train new users. This role is key in the successful implementation of new projects and the maintenance of existing projects.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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Primary Responsibilities:
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  • Support the full software development and implementation lifecycle
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  • Analyze and dissect system requirements and technical specifications to create and execute test cases for business initiatives
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  • Validate requirements with stakeholders and provide suggestions and recommendations
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  • Work with business users, system analysts, designers and developers to create and analyze various required project documents this includes detail specifications for complex algorithms
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  • Ability to write clear, concise, and extensive user documentation using advanced features of MS Word
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  • Ability to write user stories with measurable results (acceptance criteria); manage the process by hosting/attending daily stand up meetings and participation in retrospective and planning meetings
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  • Effectively communicate with multiple roles, including business stakeholders/SME's, PM's, developers, system architects, etc.
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  • Assist business users in defining User Acceptance Testing, test cases and plans
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  • Ability to write test cases and execute testing within a web service environment
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  • Plan, document, evaluate and track testing results to ensure system applications are free from defects
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  • Establish and maintain test cases and test data, includes knowledge of SQL
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  • Ability to use advanced features of MS Excel such standard deviation, formulas and other functions
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  • Actively participate in walk-through, inspection, and peer reviews for quality assurance
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  • Participate in production implementation verification and being accountable for validating system quality
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  • Communicate and interact with appropriate areas on problems, changes and enhancements that may impact data, workflow and/or functionality within Information Technology software
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  • Comply with standards of the software development life cycle and follow strategies, plans and procedures within information Technology software
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  • Ability to share knowledge (train) other team members and business users on any of the skills listed above
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  • Collaborate with project stakeholders and technical teams regarding enhancements, changes, issues and defects that may impact development, data, workflow and/or functionality
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  • Ability to manage multiple clients simultaneously and oversee the analysts supporting each client
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  • Travel to customer sites as necessary to support the software development life cycle
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  • Travel to customer sites may be required (up to 25%)
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  • Excellent communication and interpersonal skills and able to interact intelligently with customers
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Youll 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.

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Required Qualifications:

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  • Bachelors and or experience
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  • 8+ years business analysis experience in the healthcare fraud, waste and abuse
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  • 8+ year data analysis experience with a working knowledge of database structure and SQL
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  • Intermediate skill in MS Word, Excel, and Power Point
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  • Either a medical coding certification (AAPC, AHIMA or PMI) or AHFI certification from NHCAA
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  • Experience gathering and writing business requirements
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  • Experience writing training materials and user manuals
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  • Experience conducting instructor lead training
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  • Able to share complicated concepts with both high and low-tech audiences both verbally and in writing
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  • Ability to Travel to customer sites up to 25%
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking order
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Preferred Qualifications:

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  • Experience with any of the following tools: Rally, DevSuite, HP-ALM
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  • Experience in managing people
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  • Medicaid claim experience
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Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the worlds large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy

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"Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Posted: 2021-06-07 Expires: 2021-07-07

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Manager, Business System Analyst - Fraud, Waste and Abuse- Telecommute - 930537

UnitedHealth Group
Atlanta, GA 30303

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