Job Location: Minnetonka, MN
UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm)
Are you eager to make an impact on one of the most important and underserved issues in the US healthcare system? Naviguard, a fully owned UnitedHealth Group Ventures company, is on a mission to protect patients from surprise bills by building a revolutionary consumer protection business. This new business will be dedicated to helping patients understand and mitigate the unexpected financial risks they face. As an employee of this new business, you can expect to be a part of a dynamic organization that is fast-paced and driven by our vision to promote healthcare affordability and accountability nationwide.
As a Sr. Business Process Analyst you will fill a critical function to the Naviguard Quality team by assessing the execution of complex processes, by providing in depth analysis to issues and trends brought forth, and by identifying solutions that will allow the Operations staff to continue to learn grow. This position requires a motivated self-starter with a blend of Customer Service, Negotiation, and Complex Process expertise. Additionally, the right candidate will have a blend of claims processing knowledge, the ability to solve moderately complex problems and/or conduct moderately complex analyses, a strong analytical communication base, and leadership skills. To be successful in this role, candidate will be able to work with minimal guidance to assess and interpret Operations needs and requirements and will be able to identify solutions to non-standard requests and problems. This position will report to the Director of Quality
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Subject Matter Expert on Naviguard operations processes
- Conducts complex Quality Case Assessments for Naviguard Operations staff with the goal of identifying solutions to non-standard issues; focus on Negotiation strategy effectiveness and outcomes, and Provider Liaison workflows
- Communicates findings and complex issue analysis related to assessments to Operations leaders
- Provides explanations and information to Operations leaders in order to support them in helping the Naviguard team continue to develop and grow
- Translates trends and findings through the Quality Assessment process into actionable next steps
- Quality reporting, analysis, and audits and for developing plans and programs to support continuous quality improvement
- Provides in-depth provider strategy evaluations based on closed case results, and root cause analysis based on findings to provide feedback and guidance to Operations and Provider Liaison leadership
- Partners with Process Analyst to serve as a logic and clarity reviewer for all written processes, prior to implementation
- Assesses and/or documents the outcomes of business decisions as related to the work completed by Operations staff
- Acts as a resource for others with less experience
- Works independently to manage competing priorities and requests
- Supports collaboration between process users and Quality
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:
- Undergraduate degree or related experience
- 3+ years of hands-on experience conducting compliance, financial, and/or operational audits
- 2+ years of experience with process improvement, workflow, benchmarking and evaluation of business processes
- 2+ years of relevant quality assurance or process improvement experience
- Proficiency in Microsoft office suite including Word, Excel, Outlook and PowerPoint
Preferred Qualifications:
- 1+ years of negotiation experience or exposure
- Experience with Naviguard / UnitedHealth Group systems, particularly member services, claims processing, or provider services
- Excellent organizational, problem solving, and critical thinking skills
- Excellent verbal/written communication and interpersonal skills
- Highly motivated individual with a passion for helping consumers navigate the complicated healthcare system
- Excellent communication, time/project management, problem solving, organizational, and analytical skills
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 at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we’re presented with an opportunity to make a difference on a scale we couldn’t imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you’ll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You’ll help write the next chapter in the history of health care. And you’ll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.(sm)
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.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.
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