Business Process Analyst - U.S. (Telecommute)

Business Process Analyst - U.S. (Telecommute)

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Position Description:
Creating a team to manage enterprise reporting to CMS to support Medicare Section 111 and Crossover and Medicaid eligiblity reconciliation to meet federal and state mandates. Team member(s) responsible for file compliance, requirement documentation, help desk intake and traige, HPSM incident managerment, problem resolution and member/customer support. May require customer and/or account team meetings to resolve customer and or member issues and/or provide education on process, set up and remediation. Enterprise evaluation of business segment processes for consistency, compliance and best practices. Liaison to CMS vendor(s) and SME for regulations/user guidelines of eligibility reporting.
 
Youre empowered to do your best! Use your Sharp Business Skills to assist in end-to-end business process activities by creating, controlling and improving business processes by assisting in process design, project implementation for improvement activities, diagnosing process improvement opportunities and develop solutions using principles of process excellence and related tools.
 
Also assists in quality reporting, analysis, audits, developing plans and programs to support continuous quality improvement using a variety of applicable tools.
 
UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, were removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Requirements:

• HS diploma/GED


• Previous experience in writing business and business/finance analysis.


• Previous experience at problem solving, follow-through and resolution


• Excel, Word, PowerPoint

Assets:

• Previous Experience working with Medicare and or Medicaid


• Previous TSO experience


• Previous Claim Processing background is helpful


• Previous Customer Service experience.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.