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Job Details

UnitedHealth Group

Sr. Solution Analyst: Risk and Quality Telecommute (106095489)

Sales and Marketing




Eden Prairie, Minnesota, United States

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 include those responsible for analysis and documentation of the process and tasks related to OptumCare Care Delivery programs and applications and working closely with Solutions Leads and project teams. Our Sr. Solutions Analyst will participate in the process of gathering business requirements from stakeholders and work with technical teams in order to develop and deliver technology solutions to our business customers. This role presents an opportunity to serve as a ‘Voice of the Customer’ focused on customer service and meeting the Local Care Delivery Organizations (LCDO) where they are.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • You will work with various client, operations, and business partners to gather requirements and provide the appropriate level and balance of expertise and documentation to enable the technical and operational delivery
  • You will build competency in your assigned area of business operations process to enable serving as an SME to the delivery team and to ensure technical solution meets requirements as defined
  • You will develop and maintain strong relationships and trust with customers, technical teams, and operations teams.
  • You will ensure that solutions are built with the customer perspective in mind by gathering buy in from key stakeholders throughout the development process
  • You will work as part of a team to guide acceptance activities of the solutions you are responsible for. You will work with your operations teams to ensure the end state business solution is understood and adopted by your users
  • Your work most often impacts a large business unit, and/or multiple Optum Care markets where you work within a team to support and execute strategies meeting functional/operational objectives and are able to manage communications, change management process and escalations
  • Every day, you will lead and influence others in the process to resolve highly complex or unusual business challenges that affect major functions or disciplines and support solutions and programs that impact Care Delivery markets, practices, and providers as our primary customers

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 equivalent experience
  • Experience with Business Process Modeling Notation (BPMN) and workflow definition using Visio, Enterprise Architect, or similar tools (4+ years)
  • Experience (4+ years) with at least one of the following and a general knowledge of the other:
    • NCQA Quality business processing including a general understanding of the annual processing cycles, HEDIS measures, Stars measures, supplemental data submission, and audit support
    • Medicare Advantage Risk Adjustment with a focus on attestation processing / gap closure, including a general understanding of the CMS HCC model(s), submission timing and auditing
  • Proven ability in business process analysis, requirements definition, and documentation (6+ years)
  • Ability to communicate effectively verbally and with project documentation, meeting minutes, requirements documents, standard protocols, stakeholder assessments, etc.
  • Ability to read and interpret technical specifications and data validation reports and use this information to guide technical teams in the population of data and mapping files according to these specs, validation results, and business needs
  • Ability to communicate fluently with both IT and business teams and bridge the gap between technical and non-technical stakeholders
  • Ability to lead discussions in groups from 2-30+ teammates towards clear problem-solving objectives, transitioning fluidly between high-level perspectives and detailed analyses, encouraging a positive, collaborative environment, and keeping each audience’s perspective in mind

Preferred Qualifications:

  • Detail oriented, analytical thinker
  • Ability to manage assigned work with minimal oversight
  • Significant experience working in a highly matrixed environment focused on relationships and collaboration
  • Self-starter with the ability to work independently towards defined goals and milestones

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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. 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.