4 days old

Sr. Business Systems Analyst - Telecommute - 932383

Baltimore, MD 21202 Work Remotely
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  • Job Code
    932383

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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The Sr. Business Systems Analyst will create and deliver high quality system solutions for our applications, products and services across all technology functions. They will consult with users and technology specialists to define business processes and the information systems for supporting those processes. They may perform analysis and also serve as business liaisons to understand and refine business requirements. They will provide technical support in developing systems that are cost effective and meet users requirements. This function works to create systems that work together in a cohesive manner, enforcing standards and methods consistently across the enterprise. Roles may support both current system improvements and maintenance along with new system development.

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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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  • Gather, analyze and document business requirements, and develop supporting materials such as use cases, flowcharts, models, specifications, and reports
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  • Liaison with customers, users, and team to foster collaboration and consensus
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  • Provide recommendations for improving system capabilities and performance to enhance value for end users
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  • Follow approved procedures and templates, and implement process improvements
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  • Champion the needs of the users throughout the software development life cycle
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  • Collaborate with QA analysts to elaborate and validate test cases
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  • Support the service / help desk in responding to technical and data questions that are received from end users, and support the users directly when necessary
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  • Maintain and report on various project metrics as required
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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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  • Bachelor's degree or 7+ years equivalent work experience as a Business Systems Analyst
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  • 7+ years of experience in leading requirements capture, management and analysis activities, including conducting user interviews, leading and facilitating JAD sessions, and developing business process models and formal specifications
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  • 3+ years of experience with Business Intelligence tools
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  • 3+ years of experience with SQL data queries
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  • Thorough understanding of claims and healthcare terminology and codes as published by CPT, ICD, HCPCS, and DRG manuals
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  • Excellent analytical skills, the ability to integrate information from multiple sources to execute effectively and efficiently in a dynamic environment
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  • Verbal and written communication skills, ability to work independently with minimal supervision, be a team player, and be well organized and efficient with excellent judgment, problem-solving and decision-making skills
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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 orders
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Preferred Qualifications:

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  • Bachelor's degree in healthcare, computer science, or business administration
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  • 5+ years of experience analyzing, processing or adjudicating medical claims data
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  • Experience with Medicare Administrative Contractor (MAC) systems, Recovery Audit Contractor (RAC) systems, Centers of Medicare and Medicaid Services (CMS) Integrated Data Repository, and CMS fraud detection and prevention solutions
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  • Knowledge of the Medicare FFS claims processing systems and business procedures
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  • Experience as a Unified Program Integrity Contractor (UPIC), or Medicare Drug Integrity Contractor (MEDIC)
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  • Experience in developing requirements for portals and content management systems
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  • Experience working in an Agile Development Framework
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  • Experience with AWS Cloud
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  • Experience with release management tools such as JIRA and Confluence
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  • Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI)
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Career Opportunities at OptumServe Technology Services (OSTS). Our mission is to make health care work better for everyone. Since 2007, weve helped federal agencies modernize, scale, and secure the U.S. health system and transform data into insights to improve health outcomes for millions of Americans. When you join OSTS, youll be joining the health integration and innovation arm of OptumServe, the federal division of UnitedHealth Group. As a Fortune 7 company, UnitedHealth Group is the nations largest health care provider and payer with unlimited resources leading to positive results across the globe.

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Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives

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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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Job Keywords: Business Analyst, Systems Analyst, SQL, Medicare/Medicaid Analyst, data queries, Business Intelligence

Posted: 2021-06-11 Expires: 2021-07-11

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.

Sponsored by:
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Sr. Business Systems Analyst - Telecommute - 932383

UnitedHealth Group
Baltimore, MD 21202

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