Claims Business Process Consultant Senior (External Audit Data / Reporting Analyst) – National Remote

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 to start Caring. Connecting. Growing together.

This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am – 6:00 pm EST with core business hours of 10:00 am – 1:00 pm EST. It may be necessary, given the business need, to work occasional weekends.

We offer 8 – 16 weeks of paid on-the-job training. The hours of training will be aligned with your schedule.

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

Primary Responsibilities:

Ensure compliance with all privacy and data security policies and requirements

Prepare data sets and reporting to UHC, audit firm and customer specifications

Cleanse, analyze and evaluate large complex data sets

Write queries to filter and summarize large complex data sets

Develop and maintain custom and adhoc reports

Distribute data internally and externally in compliance with all data security policies and guidelines

Support and collaborate with external audit stakeholders regarding data and reporting

Ensure the accuracy and integrity of audit data, records and reporting

Serve as subject matter expert and central point of contact for audit data, systems, and reports

Validate sample selections for processing

Manage CQAT SAM uploads

Manage remote system access and credentials for external audit firms

Create and maintain detailed audit records and files

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:

High School Diploma / GED OR equivalent work experience

Must be 18 years of age OR older

2 years of experience with writing queries and working with large complex data sets in Microsoft Access, Ultra Edit, SQL, Smartsheet, Wryke or Monday.com

2 years of experience with writing queries and creating reports in Tableau, Power BI, SQL, Smartsheet, Wryke or Monday.com

Highly proficient in the use of computers and commonly used applications such as Microsoft Office, including Microsoft Word (creating, editing, saving documents), Microsoft Excel (creating, editing, analyzing data sets, etc.), Microsoft PowerPoint (creating, editing, saving presentations), Microsoft Access (creating, editing, saving documents)

Ability to work any 8-hour shift between the hours of 6:00 AM – 6:00 PM EST from Monday – Friday including the flexibility to work occasional weekends based on business need

Preferred Qualifications:

Knowledge of UHG Data Use and Privacy Policies and security requirements

Proficient using MS Excel pivot tables, visual basic and data analysis tools

Ability to manage competing priorities, consistently meeting deadlines for tasks and deliverables

Organizational, analytical, and problem-solving skills

Oral and written communication skills

Ability to provide effective technical support to internal and external customers

Telecommuting Requirements:

Ability to keep all company sensitive documents secure (if applicable)

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

Ability to manage competing priorities, consistently meeting deadlines for tasks and deliverables

Organizational, analytical, and problem-solving skills

Oral and written communication skills

Analytical and problem-solving skills

Demonstrated ability to provide effective technical support to internal and external customers

Foster positive relationships with internal and external customers

Demonstrated ability to consistently prioritize competing demands to consistently meet deadlines for tasks and deliverables

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy  

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The salary range for this is $70,200 – $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline:  This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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 .

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