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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Business Operations


United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

Associate Business Analyst (Reports) - Ontario, CA

UHG - Ontario, California

Posted: 10/12/2018

The Associate Business Analyst will be responsible for Medical Management reporting which includes on schedule release of reports, report design, QA and modifications as identified. Collaborates with the IT department to identify appropriate technology solutions for the business area. Analyzes and evaluates business and user needs for protocol implementation. Collaborates with the QI department to implement and maintain Health Plan letters for compliance. This individual will also be responsible for training.   Primary Responsibilities:

  • Responsible for routine scheduled reports, including accuracy, modifications as needed and timely delivery
  • Lead in the planning, design, development, modifications and deployment of all Medical Management reports used across the organization
  • Conduct ongoing review and analysis of Medical Management reports located on the reporting server to ensure accuracy and change requirements due to process and / or system changes
  • Collaborates with the IT staff in developing, testing and implementing information technology solutions for the Medical Management Department. Liaison between Medical Management and IT for reporting needs and translates the Medical Management department’s technical needs for the IT department
  • Responsible for distribution of Monthly / Quarterly reports to the Health Plans
  • Responsible to ensure accuracy of the Monthly / Quarterly Health Plan and well as ad-hoc requests from the Health Plan and collaborates with the Health Plan contact as needed
  • Responsible to work with IT to maintain current Medical Management reports on the reporting server
  • Supports the Medical Management Department through the management and interpretation of data, project management, process improvement activities and group facilitation
  • Responsible for gathering, analyzing and reporting on data in support of business cases, proposed projects and utilization requirements
  • Interprets key data and presents in a clear and concise manner
  • Develops appropriate recommendations related to findings and collaborates with management in the development of action plans where needed
  • Directs the activities and ensures the accuracy and quality of Medical Management reporting
  • Works with management in analysis requiring expertise in Utilization Management
  • Meet with decision makers and end users to define business, financial and operational requirements
  • Upon requests will plan, organize and conduct detailed management analytical studies to define deficiencies and identify solutions which impact the utilization department’s effectiveness
  • Lead in Authorization Protocol development, testing and implementation
  • Responsible for development, testing, implementation and maintenance of letters used by Medical Management
  • Troubleshoots data extract / import issues and works in conjunction with IT and the vendor to provide solutions
  • As needed, will work with management to analyze, test and implement system configuration changes to capture data requirements to meet CMS and / or Health Plan reporting needs
  • Test Medical Management system updates as needed and collaborate with the vendor to resolve any issues
  • Log incident tickets with Medical Management system vendor and track to resolution
  • Work with Director of Medical Management System Support as lead technical support on new projects
  • Assist in the training of Medical Management and QI staff in reporting application
  • Develop and maintain reporting job aides used for training
  • Other duties as assigned
  • Able to travel between locations
  • Must be flexible, well organized, self –starter and a Team Player
  • Ability to work independently with limited supervision
  • Ability to work well with people with varying degrees of technical experience
  • Ability to facilitate groups, meet deadlines and handle multiple priorities
  • Logical and efficient with a keen attention to detail

Required Qualifications:
  • 2+ years of experience in the following areas are required:
    • Healthcare Industry
    • Business Analysis experience
    • Database management, data extracts, queries and / or report writing
  • Working knowledge of medical terminology, ICD 10, CPT, HCPC codes
  • Intermediate level of proficiency in Microsoft Excel
  • Proficiency in preparing reports via collection of data, report generation (graph)
  • Excellent practical knowledge in importing data for use in software, spreadsheets, graphs and flow charts
  Preferred Qualifications:
  • Demonstrates knowledge of Oracle, SQL and HTML
  • Business Objects and Crystal Report Writing (including designing) a plus
  • Access Experience a plus
  • Strong Project Management skills
  • Familiarity with Capitated and FFS contract interpretations
  • Strong analytical, critical thinking and communication skills, both verbal and written
  • Some training experience
    Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's 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)   North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.   The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.  
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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    Job Keywords: Business Analyst, Reporting Analyst, Data Analyst, SQL, Excel, Oracle, HTML, Business Objects, Crystal Reports, Capitation, FFS contracts, healthcare, ICD-10, C{T, HCPC

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