Program Integrity Business Analyst - Remote jobs in United States
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Optum ยท 1 day ago

Program Integrity Business Analyst - Remote

Optum is dedicated to improving health data flow and creating a connected system. The Program Integrity Business Analyst will collaborate with business leads to document processes, analyze data for trends, and ensure project deliverables are met.

EducationHealth CareMedicalPharmaceutical
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H1B Sponsor Likelynote

Responsibilities

Works collaboratively with business and support leads, and subject matter experts (SMEs), to map and document current or anticipated processes, project plans, and/or issue logs
Responsible for documentation management of assigned processes, which may include medical records, billing records, healthcare claim data, operations documentation, and/or business unit policies and procedures
Analyzes and interprets data to identify trends, patterns and opportunities for the business and clients
Performs data validation and quality review
Problem solves, both in the context of balancing multiple priorities to ensure deadlines are met, and in researching conflicting and/or inaccurate data to propose solutions
Communicates analysis including trends and opportunities to clients / business in writing and verbally
Understands and anticipates customer needs and works proactively to meet them
Creates, produces, and manages daily, weekly, monthly, quarterly, and annual reports
Performs routine or structured work, in collaboration with Operations Manager(s)
Assists in implementation initiatives to ensure project deliverables and milestones are met
Provides explanations and interpretations within area of expertise
Exercises problem solving skills to support deliverable timelines

Qualification

Data analysisBusiness process documentationHealthcare claims experienceMS Office proficiencyExcel skillsVerbal communicationWritten communicationProblem solving

Required

High School Diploma/GED
3+ years of experience in data analysis of root cause analysis and reporting
2+ years of documenting business process or job aid development
Proven excellent verbal and written communication skills
Proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
Ability to work Monday - Friday, 08:00AM - 05:00PM EST
18 years or older

Preferred

4+ years of business experience
Experience gathering requirements from the client/business and documenting
Experience with health plans, healthcare claims, or clinical operations experience
Familiarity with medical billing and coding terminology
Intermediate + level Excel skills
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Benefits

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution

Company

Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.

H1B Sponsorship

Optum has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)

Funding

Current Stage
Late Stage

Leadership Team

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Daniel Castillo
Chief Executive Officer, Optum Care Delivery
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J
Jay Green
Chief Financial Officer
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Company data provided by crunchbase