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About UHG

Careers at UnitedHealth Group

 

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

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full Time

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Data Mining Business Manager - Dublin or Letterkenny, Ireland

UHG - LETTERKENNY, Letterkenny

Posted: 08/9/2018

You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health care. Does the challenge intrigue you?

 

As a key member of the Payment Integrity Data Mining team, you will be part of UnitedHealth Group's mission of helping people live healthier lives. As a Business Manager, you will grow and develop as you conduct and manage outcomes and support short and long term strategic business activities and provide solutions, conduct research, and analysis of data and business processes. You will be challenged to analyze, review, trend and forecast data for operational and business planning.  As part of this team, you will be empowered to impact the health care system through the analysis and interpretation of data, and presenting recommendations for business solutions.

 

Join us! There's never been a better time to do your life's best work.(sm)

 

Primary Responsibilities:

  • Oversee individuals performing comprehensive research and identify billing abnormalities, questionable billing practices and/or irregularities
  • Manage research and analyses of claims data to determine details of fraudulent or abusive billing activity
  • Direct internal and on-site audits of provider records, clinical records and itemized bills so as to ensure appropriateness of billing practices and correct errors or overpayments
  • Set team direction, resolve problems and provide guidance to members of own team
  • Adapt departmental plans and priorities to address business and operational challenges
  • Influence or provide input to forecasting and planning activities
  • Collaborate with business matrix partners to deliver value to our clients by ensuring key operational, financial and growth targets are achieved
  • Present analysis and interpretation for operational and business review and planning
  • Analyse and translate data to determine financial impact and develop recommendations for action plans
  • Provide support around adhoc operations analysis requests

Required Qualifications:

  • Bachelor’s degree in Business, Finance, Health Administration, related field or equivalent work experience
  • Experience of managing business partners in a matrix organization
  • Proficiency in performing financial analysis including statistical calculation and interpretation
  • Experience gathering requirements from the business and documenting
  • Experience with process improvement, benchmarking and / or evaluation of business processes
  • Proficiency with PC based software programs and automated database management systems (Excel, Access, PowerPoint, SQL)
  • Ability to communicate analysis including trends and opportunities to clients, executive leadership and the business in writing and verbally
  • Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data
  • Intermediate proficiency with MS Office

Preferred Qualifications:

  • Experience of managing a team

 

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)

 

 

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.

 

 

Job Keywords: Data Mining, Business Manager, Dublin, Letterkenny, Ireland

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