Business Systems Analyst - Telecommute

Company: UnitedHealth Group
Location: Hartford
Posted on: January 9, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:

• PPS Client Support
• Ensures successful installation, implementation, and configuration
• Apply analytical / quantitative approach to problem solving
• Knows how to obtain and use data, and comfortable with statistical concepts
• Utilize communication skills to influence and negotiate
• Utilize one's strong interpersonal skills to work with all levels of management across all functional areas, as well as, business partners through internal entities
• Work within client ticketing system to track escalated issues, input new issues or answer issues sent in by other teams
• Communicate any responses back to client
• Implement changes as needed and outlined in contract
• Work directly with Optum colleagues and customers to determine and document Client PPS payment system methodology education needs.
• Work directly with Optum colleagues and clients to determine and document Client requirements for Optum PPS product training
• Works directly with customers to define other project requirements, provide assistance to answer questions related to project results
• Assist as needed with other Reimbursement Solutions projectsEngage with dedicated clients either VPN or Remote, WebEx to apply updates or Troubleshoot issues using documentation from Regulatory
• Support Optum Business Partners with questions around integration
• Compile Documentation: Processes and Procedures (including but not limited to Clients specific tracking, network configuration, rules of engagement)You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
  • Bachelor's degree or equivalent work experience
  • 3+ years' experience working in a healthcare data or regulatory environment
  • Basic knowledge and understanding of Prospective Payment Systems - includes DRG, APC, OCE, ESRD, CAH, CMG, RUG, RBRV
  • Experience pricing Medicare hospital facility claims (inpatient and outpatient)
  • Experience breaking down information and developing solutions
  • Healthplan experience in facility contract configuration, claims or IT
  • Experience documenting client operational and technical workflow
  • Experience configuring and customizing software solutions
  • Some Facility claims reimbursement - Medicare, Medicaid, Commercial
  • Exposure to healthcare claims data, basic PPS concepts, UB04 and HCFA 1500 claim content
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications:
    • Experience with EasyGroup, WebStrat and RateManager
    • SQL experience
      • .NET or IIS
      • Experience with Microsoft Word, Excel, PowerPoint, Visio
      • Claims system knowledge - Trizetto Facets, NetworXks Pricer, QNXT, Health Rules Payer, IKA Claims, Burgess Systems, Epic Tapestry, 3MCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)Colorado Residents Only: The salary for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter PolicyDiversity 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Job Keywords: Business systems analyst, systems analyst, IT, technology, Prospective Payment Systems, healthcare data, remote, work from home, telecommute

Keywords: UnitedHealth Group, Hartford , Business Systems Analyst - Telecommute, Professions , Hartford, Connecticut