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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



Approximate Salary:

Not Specified

Position Type:

Full Time

Business Process Analyst - Regulatory Operations - Dallas TX, Louisville KY, or Sacramento CA

UHG - Sacramento, California

Posted: 12/17/2018

The Business Process Analyst will perform data analytics, compliance, and privacy related duties to assist the Assistant Vice President for Centralized Medicare, Centralized Credits, and three (3) COEs located in Sacramento, Louisville, and Dallas in developing, implementing, coordinating, and supporting inventory functions and activities in a large matrix organization.


Primary Responsibilities:

Responsible for end-to-end process activities; Creating, controlling, and improving business processes Lead process design and project implementation teams in process improvement activities Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools Work effectively and collaboratively with colleagues, employees, internal clients, business partners, and key customers, vendors, and management within Optum360, responding promptly and efficiently Responsible for quality reporting, analysis, and audits; Develop plans and programs to support continuous quality improvement using applicable tools Strong analytical skills with experience in pulling and analyzing data from hospital billing and related hospital information systems Apply comprehensive knowledge and a thorough understanding of legal and compliance concepts, principles, and technical capabilities to perform varied tasks and projects Strong written and verbal communication skills Comfortable working with highly detailed information, with a passion for precision and accuracy Experience utilizing Microsoft Excel and Access, as well familiarity with Cerner, Meditech, MS4, and other hospital billing and coding systems Interact with multiple functions within Optum360 and the client organization, including Compliance, Legal, Reimbursement, Finance, Operations, Human Resources, and Internal Audit, along with client ancillary departments Complete work independently; Ability to understand and implement action plans based on general guidance Excellent organizational skills Ability to develop practical and innovation solutions to a wide range of problems Ability to handle complex projects and understand and prioritize risks Customer oriented attitude and ability to prioritize and manage multiple time-sensitive projects with a sense of urgency Thoughtful problem solver who consistently treats others with dignity and respect Focused on helping others be more successful, and protecting the organization and individuals consistent with legal obligations Assist in developing, maintaining, and updating compliance and privacy policies and procedures to support Optum360’s Corporate Compliance Program and culture of integrity and ethics Maintain and execute tracking and reporting mechanisms and procedures related to compliance and privacy initiatives and activities Perform internal monitoring and auditing to ensure compliance with laws, rules, and policies governing Optum360’s operations Review and analyze results of internal audits and monitoring activities and prepare reports detailing the findings for discussion with CCO, CISPO, and VP of Revenue Cycle and Compliance Research and maintain awareness of new laws, rules, and regulations applicable to and impacting Optum360’s operations Collaborate with other departments to ensure compliance issues are routed through appropriate channels for investigation and resolution and help formulate corrective action to mitigate such risks Consult with the CIAPM, CCO, CISPO, and VP of Revenue Cycle Quality and Compliance as needed to resolve complex compliance issues Lead, facilitate, and/or participate in compliance work groups or committees as requested Anticipate and identify areas of improvement for the Compliance Program and participate in developing compliance performance improvement projects and activities Model and support Optum360’s core values, mission, and vision, as well as C-i-Care strategy, when interacting with others Support annual compliance training efforts Perform other duties as assigned

Required Qualifications:

  • 4+ years of experience in healthcare revenue cycle billing or collections
  • 2+ years of experience with documenting processes and practices, often in accepted project methodology artifacts, while effectively prioritizing multiple tasks, priorities, projects, and deadlines
  • Advanced Excel and moderate SQL skills
  • Willingness to travel nationally about 25%

Preferred Qualifications:

  • Bachelor’s degree in Business, Finance, Health Administration, or related field
  • Experience with MS Project, Access, Word, PowerPoint, SharePoint, and Visio, MS4, Cognos, Artiva, Meditech, Optum eFR, Caremedic
  • Previous team lead or project lead experience

At UnitedHealth Group we're rewriting the way health care gets done for millions. Be part of something daring and bold while doing your life's best work.(sm)

Careers with Optum360. At Optum360, we're on the forefront of health care innovation. With health care costs and compliance pressures increasing every day, our employees are committed to making the financial side more efficient, transferable and sustainable for everyone. We're part of the Optum and UnitedHealth Group family of companies, making us part of a global effort to improve lives through better health care. In other words, it's a great time to be part of the Optum360 team. Take a closer look now and discover why a career here could be the start to doing your life's best work.(sm)



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: patient access, patient registration, patient billing and collections, acute care hospital, healthcare, Medicare, AR, Dallas, TX, Texas, Louisville, KY, Kentucky, Sacramento, CA, California

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