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
CLICK TO APPLY JOB
0 Response to "Sr. Business Systems Analyst (Santa Ana, CA or Telecommute) - UnitedHealth Group - Santa Ana, CA"
Posting Komentar