Associate Business Systems Analyst

UnitedHealth Group; Indianapolis (IN); On-site; USD 60,000 - 95,000; Full time

Job summary

Join a forward-thinking organization as an Associate Business System Analyst where you will play a crucial role in enhancing healthcare delivery through technology. You will be part of a dedicated team focused on operational support, ensuring efficient communication and problem resolution for health plan clients. This position offers an opportunity to develop your skills in a dynamic environment while contributing to meaningful health outcomes. If you are passionate about making a difference and thrive in a collaborative setting, this role is perfect for you.

Qualifications

• 2+ years of experience in healthcare data or regulatory environment.
• Ability to analyze complex issues and perform root cause analysis.

Responsibilities

• Ensure effective delivery of ongoing maintenance and updates related to applications.
• Measure service quality and systems knowledge development.

Skills

Healthcare data experience

Software management

Problem-solving

Critical thinking

Experience with EasyGroup

Claims pricing

Flexibility to work overlapping US time zones

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Visio

.NET

IIS

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

We are recruiting an Associate Business System Analyst to join our Optum Application Managed Services (AMS) team. The AMS team engages in short- and long-term commitments and partnerships and provides full-service operational support to our clients with a proactive approach to business communication, efficiency, and problem resolution. The AMS team partners with health plan clients to become an extension of their organization. The highly seasoned staff is dedicated to managing Prospective Payment Systems (PPS). AMS provides services that will help provide long-term benefits for the client, including savings in processes, manual effort, and other operational areas.

Associate Business System Analysts are measured on service quality and systems knowledge development.

Primary Responsibilities:

1. Ensuring effective delivery of ongoing maintenance and updates related to the applications.
2. Measuring service quality and systems knowledge development.
3. Complying with employment contracts, company policies, procedures, and directives related to work location, shifts, benefits, and work environment, with policies subject to change at the company's discretion.

Required Qualifications:

• 2+ years of experience working in a healthcare data or regulatory environment.
• Experience in software management, deployment, and best practices.
• Experience with EasyGroup, Payment System Interface (PSI), and Rate Manager.
• Experience pricing Medicare hospital facility claims (inpatient and outpatient).
• Experience in breaking down information and developing solutions.
• Health plan operations experience in facility contract configuration, claims, or IT.
• Experience configuring and customizing software solutions.
• Solid understanding of application infrastructure.
• Intermediate understanding of server configuration and integrated system layouts.
• Basic knowledge of Prospective Payment Systems (DRG, APC, OCE, ESRD, CAH, CMG, RUG, RBRV).
• Exposure to healthcare claims data, PPS concepts, UB04, and HCFA 1500 claim content.
• Critical thinking and problem-solving skills; ability to work independently and analyze complex issues.
• Flexibility to work overlapping US time zones.
• Ability to interpret release notes, payment systems, rate files, and regulatory updates.
• Ability to perform root cause analysis for claims pricing and editing.

Preferred Qualifications:

• Experience with Microsoft Word, Excel, PowerPoint, Visio.
• .NET or IIS experience.

#NTCAP

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to addressing health disparities and ensuring equitable care for all, regardless of race, gender, sexuality, age, location, or income.