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Sr. Business Systems Analyst (Santa Ana, CA or Telecommute) - UnitedHealth Group - Santa Ana, CA

Sr. Business Systems Analyst (Santa Ana, CA or Telecommute) - UnitedHealth Group - Santa Ana, CA -
You consider knowledge may help reshape the longer term, and you end up loving the joys of diving into difficult evaluation. At UnitedHealth Group, you will discover a corporation that may acknowledge these skills and have numerous progress potential. Right here, you may be empowered, supported and inspired to make use of your evaluation experience to assist change the way forward for well being care. Does the problem intrigue you?As a key member of the Analyst group, you’ll be a part of UnitedHealth Group’s mission of serving to individuals reside more healthy lives. As a Senior Business Analyst, you’ll develop and develop as you conduct and handle outcomes of varied research. You’ll be challenged to research, doc, evaluate, and forecast knowledge for operational and enterprise planning. As a part of this elite workforce, you’ll be empowered to impression the well being care system via the evaluation and interpretation of knowledge, and presenting suggestions for enterprise options. Be a part of us! There’s by no means been a greater time to do your life’s greatest work.(sm)

The Attribution workforce stays present with CMS updates to the Medicare Danger Adjustment mannequin. The staff applies these modifications well timed to present processes and reporting to make sure correct outcomes. As shoppers turn out to be extra accustomed to danger adjustment methodologies and guidelines, extra consideration is concentrated on the small print of valuations. The workforce offers detailed info to help shopper inquiries relating to providers offered and the worth of those providers to their organizations.

Main Obligations:
Creating enterprise necessities, consumer workflows, practical design and use case situations for packages and answer inside the Attribution Group.

Help in new product necessities by performing knowledge evaluation to determine tendencies and patterns

Liable for completeness, simplicity and high quality of necessities and design on time

Present help for creating system and integration check situations, check instances and check knowledge

Carry out consumer acceptance testing for merchandise

Creating and sustaining Medicare Danger Adjustment mannequin as outlined by CMS

Clearly articulate the client worth derived from the product

Current evaluation and interpretation for operational and enterprise assessment and planning

Help brief and long run operational / strategic enterprise actions by means of evaluation

Develop really helpful enterprise options via analysis and evaluation of knowledge and enterprise course of and implement when applicable

Make the most of uncooked info from different enterprise teams and methods, present knowledge specs, carry out high quality checks, and incorporate into division processes Required Qualifications:


three+ yr of expertise in enterprise / finance evaluation inside Medicare Danger Adjustment or 5+ years of robust expertise in enterprise evaluation


Expertise gathering necessities from the shopper / enterprise and documenting them as useful necessities. Capable of determine, handle and management requirement modifications


Properly-developed analytical talent set and drawback fixing expertise


Expertise with course of enchancment, workflow, and / or analysis of enterprise processes


Expertise with software program improvement lifecycle methodologies (Agile, Waterfall and so forth.)


Robust expertise analyzing knowledge, together with working with relational databases, database buildings


Means to create SQL queries


Potential to create UI wireframes and mockups


Intermediate degree of proficiency with PC based mostly software program packages and automatic database management methods (Excel, Entry, Visio)


Capacity to speak evaluation together with developments and alternatives to shoppers and the enterprise in writing and verbally


Potential to drawback clear up together with a number of priorities and analysis conflicting and / or inaccurate knowledge


Most popular Qualifications:
Bachelor’s diploma in Business, Finance, Well being Administration, associated area or equal work expertise


Medicare expertise


Medicare Danger Regulate expertise


Understanding of Medicare Benefit claims knowledge, RAPS, EDPS and HIPAA normal transaction and code set requirements


Visible Primary for Purposes information


SSIS information

Careers with Optum. This is the thought. We constructed a whole group round one big goal; make the well being system work higher for everybody. So in terms of how we use the world’s giant accumulation of well being-associated info, or information well being and way of life decisions or handle pharmacy advantages for hundreds of thousands, our first objective is to leap past the established order and uncover new methods to serve. Optum, a part of the UnitedHealth Group household of companies, brings collectively a few of the biggest minds and most superior concepts on the place well being care has to go to be able to attain its fullest potential. For you, meaning engaged on excessive efficiency groups towards refined challenges that matter. Optum, unimaginable concepts in a single unimaginable firm and a singular alternative to do your life’s greatest work.(sm)


Variety creates a more healthy environment: UnitedHealth Group is an Equal Employment Alternative/Affirmative Motion employer and all certified candidates will obtain consideration for employment with out regard to race, shade, faith, intercourse, age, nationwide origin, protected veteran standing, incapacity standing, sexual orientation, gender id or expression, marital standing, genetic info, or another attribute protected by regulation.UnitedHealth Group is a drug-free office. Candidates are required to move a drug check earlier than starting employment.


Job Key phrases: Business analyst, methods analyst, knowledge analyst, danger analyst, monetary analyst, reporting, analytics, SQL, Excel, Entry, Visio, Visible Primary, Medicare, danger adjustment, benefit plans, SSIS, Santa Ana, CA, California




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