Healthcare Business Analyst -- Highly visible role!

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



AmeriChoice, a UnitedHealth Group company, is a recognized leader and innovator in providing managed health care solutions to its Medicaid membership.  With over a decade of growth and success we are poised for continued expansion of our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in thousands of lives. Join us, do rewarding work, and build a great career.

 

We are seeking a detail-oriented claims pricing expert to join our friendly team as a Healthcare Business Analyst. In this fast-paced role, you would focus on claims and cost analysis to determine the impact of provider payouts. This is a brand-new position that offers flexible hours, room for growth, and a great way to combine your data and claims skills.

 

Primary responsibilities include:
Reviewing claims payment for cost analysis
Ensuring that system capabilities work in alignment with payment methodologies
Performing cost trending and addressing related issues
Designing and recommending improvements regarding provider payments
Working with cross-functional teams



Strong healthcare claims experience is essential to this role. SQL knowledge is also needed. A background in provider contracts and/or pricing is highly preferred, and experience writing business documentation is ideal. Prior medical economics research is a plus. Excellent computer proficiency is needed, and strong communication skills are a must.

 

UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.

 

If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!

 

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. 

 

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