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)
Positions in this function conduct analyses of Encounter SQL database objects and support mapping processes from an Encounter database using HIPAA Compliant Implementation Guide (IG) and Customer Companion Guide (CG) Transaction documentation and/or other proprietary formats to meet Customer/client requirements as well as all associated documentation.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Demonstrate and apply knowledge of medical and/or behavioral health claims and general encounter processing and management best practices
Demonstrate and apply intimate knowledge of HIPAA transaction guides, data elements and use requirements
Demonstrate and apply knowledge of federally mandated Companion Guide guidelines and their use
Demonstrate and apply basic relational database concepts and familiarity
Conducts/updates/manages analyses and document transaction requirements based on Implementation Guide, Companion Guides, and proprietary format instructions
Identifies data gaps and manages remediation of same
Assists in the development/creation/documentation of data maps from SQL to HIPAA/proprietary transactions
Participate in QA of mapping/translations prior to release
Conducts research as needed using a variety of SQL, XML, EDI, and file editing tools such as Microsoft SQL Server Management Studio, XMLSpy, UltraEdit
Assists data and report analysts in developing data validation routines
Acts as primary liaison between ENCOUNTER and Customer/client production personnel
Demonstrate and apply a strong attention to detail
Creates various work products using standard software packages (Word, Excel, Visio)
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
4+ years of experience with health care claims data
2+ years of experience of MS Excel, Word, Visio
1+ years of experience with SQL
Preferred Qualifications:
Experience working as a Business Analyst
Behavioral Health Medicaid encounter or claims systems/data experience
Experience with reporting tools such as SSRS & Tableau
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers 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)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut/Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Diversity 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.
