For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The Business Analyst Coordinator is responsible for ongoing maintenance of all membership and eligibility loaded in the claims system. This position provides support for eligibility inquiries and the resolution of eligibility discrepancies.
If you live in San Antonio, Texas, you’ll enjoy the flexibility to work from home and the office* as you take on some tough challenges.
Primary Responsibilities
- Assists with performing data and root cause analysis of business/systems processes related to WellMed supported member eligibility
- Serves as first tier contact in diagnosing and responding to data integrity issues related to member eligibility
- Assists the various enterprise departments by providing support with regard to any WellMed supported eligibility verifications or issues
- Works with Systems Specialist to load EDI eligibility data received from payers into system
- Load and maintain member special status flags to ensure accurate payment of member claims
- Performs all other related duties as assigned
- Positions in this function conduct and manage outcomes of various studies that include:
- Analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning
- Supporting short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models
- Develop and implement effective/strategic business solutions through research and analysis of data and business processes
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
- 2+ years of experience in a healthcare environment
- Demonstrated excellent organizational skills and attention to detail
- Demonstrated excellent customer service skills
- Demonstrated proficient verbal and written communication skills
- Demonstrated proficient computer literacy skills
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
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