UnitedHealth Group

EDI Solutions Business Analyst - Remote


Pay$67800.00 - $133100.00 / year
LocationEden Prairie/Minnesota
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 2162797
      Advantages of joining employer:
      - Opportunity to invent the future of health care
      - Work on HealthCare EDI Integrated Authorization Solutions
      - Telecommute role with flexibility to work remotely from anywhere within the U.S.
      - Challenging work that helps people live healthier lives
      - Clear direction and development opportunities for career growth

      Primary Responsibilities:
      - Serve as a resource for EDI Mapping, Transaction Validation, and Testing
      - Analyze and measure HealthCare data for EDI Tech Solutions projects
      - Prepare technical and functional requirements documents, process documentation, and project plans
      - Interface with internal and external project resources, managed care customers, and IT resources
      - Participate in auditing of systems and databases for prior authorization transaction research

      Required Qualifications:
      - 3+ years of experience with process and workflow documentation
      - Proficiency in Microsoft Office Products (Word, Outlook, Excel, PowerPoint, Visio)
      - Experience in Healthcare IT Functional Area and Clinical Utilization Management Systems
      - Experience in healthcare EDI testing and validation
      - Experience querying and analyzing healthcare data using SQL tools
      - Experience working with authorization, eligibility, and/or claims data or application interfaces
      - Knowledge of healthcare EDI transactions and ability to articulate technical and functional specs

      Preferred Qualifications:
      - Bachelor's degree in CS or technology discipline
      - Experience with SQL and specific EDI X12 ANSI 278 Transactions
      - Experience in EDI transaction mapping and production support
      - Experience with cloud-based solutions and Agile Project Methodology
      - Knowledgeable about healthcare prior authorization and claims processing

      Soft Skills:
      - Strong organization skills and attention to detail
      - Excellent communication skills, both verbal and written
      - Ability to utilize multiple channels of communication simultaneously
      - Ability to actively engage in meetings, working sessions, and assigned project work

      Telecommuting Requirements:
      - Have a dedicated work area that provides information privacy
      - Ability to keep all company sensitive documents secure
      - Must have access to a UnitedHealth Group approved high-speed internet connection

      Additional Information:
      - UnitedHealth Group's Telecommuter Policy applies to all employees working remotely
      - UnitedHealth Group is committed to creating an environment of diversity and equal opportunity
      - OptumCare is a drug-free workplace and candidates are required to pass a drug test before employment.
  • About the company

      UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.