At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

The Sr. Business Process Analyst will operate as the primary liaison between Business Stakeholders & IT Partners. The analyst will represent the Claim Payment & Presentment Team governing and assisting with CSP Facets, UNET, USP, Cosmos, UHOne, NICE and IFS claim adjudication platforms (CAE). You will assist the Production Manager for all of the CAE’s on the Payment Engine Application, a shared services Application that produces over $104 Billion dollars annually across all lines of business. You will assist on projects that have direct impact to Payment Engine production, manage business inquiries, new development opportunities and assist in the resolution of any production support issues. The Sr. Business Analyst role will be critical in monitoring daily cycles and working with our business partners and Payment Engine IT to lead and follow the issues to resolution.

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

Primary Responsibilities:

• Serve as a SME for the Payment Engine production team
• Collaborate with the development team, business, and IT partners to prioritize defect fixes, communicate system issues and impacts
• Support stakeholder training on any new functions by platform
• Manage and track Payment Engine production issues
• Act as point of contact for any issues or concerns from our business partners
• Analyze and remediate payment issues, concerns, or questions i.e. Business Inquiries
• Trend and collaborate with Business and IT Partners on root cause remediation
• Prioritize system and non-system defects, i.e. ServiceNow tickets and assist in defect/break/fix remediation
• Develop/create internal and external communications (i.e. 411 communications & PSIO)
• Complete 835 manual remediation for CAE’s that use this feature
• Update monthly metrics reporting
• Provide Operational support where appropriate
  

Competencies & Soft Skills:

• Passion for customers and a demonstrated focus on customer experience
• Energy, motivation, and commitment to drive to results in a challenging, fast-paced environment
• Demonstrated ability to meet commitments, build consensus, negotiate resolutions, and garner respect from other teams
• Ability to work with the team and the stakeholders to continuously improve the quality of the payment product
• Exhibit diplomacy with solid negotiation and conflict resolution skills
  

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:

• Bachelor’s degree or equivalent work experience
• Experience with documenting and resolving issues while effectively prioritizing multiple tasks, priorities, projects, and deadlines
• Familiarity with EOB’s, PRA’s and Health Statements
• Intermediate level of proficiency with PC based software programs and automated database management systems (Microsoft Project, Word, Excel and Powerpoint, Visio)
• Remote but must be in PST Time Zone or be willing to work PST hours - until at least 4pm PST (7pm ET)
  

Preferred Qualification:

• 2+ years Claims background in UNET, COSMOS, USP, NICE and/or CSP Facets
  

Careers with UnitedHealthcare . Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $67,800 to $133,100. 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 employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.




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.