Be the enterprise material skilled, skilled in enterprise evaluation and necessities gathering
Lead course of design and challenge implementation groups in course of enchancment actions
Lead and handle buyer readiness actions and venture implementation groups in course of enchancment actions
Diagnose course of enchancment alternatives and develop options utilizing rules of course of excellence and associated instruments
Lead your enterprise companions within the creation, implementation and analysis of Complete High quality Administration (TQM) packages
Analyze and evaluation complicated knowledge units managed by and obtained from inner companions comparable to healthcare economics
Current evaluation, outcomes, interpretation of outcomes, and proposals based mostly on learnings for improvement of Fraud and Abuse lead identification
Help brief and long run operational / strategic enterprise actions by means of evaluation to stop monetary losses to the corporate and reverse hostile tendencies associated to Fraud and Abuse
Develop advisable enterprise and course of options via analysis and evaluation of claims knowledge and present processes Required Qualifications:
Bachelor’s diploma in Business, Finance, Well being Administration, Legal Justice, Nursing or associated area or equal work expertise
four+ yr of expertise in writing enterprise and / or system necessities and enterprise / finance evaluation
2+ years of expertise with documenting processes and practices, typically in accepted undertaking methodology artifacts, whereas successfully prioritizing a number of duties, priorities, tasks, and deadlines
Intermediate degree of proficiency with PC based mostly software program packages and automatic database management methods (Excel, Entry, PowerPoint).
Information / Or labored in Income Cycle
Robust communication, presentation and interpersonal expertise
three+ yr of expertise reviewing declare knowledge for accuracy and or trending
Expertise reviewing inner paperwork wanted to evaluate declare patterns corresponding to medical / reimbursement coverage, supplier contracts and state necessities for regulatory compliance
Expertise with course of enchancment, workflow, benchmarking and / or analysis of enterprise processes
Intermediate degree of proficiency with PC based mostly software program packages and automatic database management techniques (Excel, Entry, PowerPoint)
Capacity to speak and current evaluation together with tendencies and alternatives to shoppers and the enterprise in writing and verbally
Potential to drawback remedy together with a number of priorities and analysis conflicting and / or inaccurate knowledge
Certification as a Well being Care Fraud Investigator (AHFI) and / or Licensed Fraud Examiner (CFE)
Medical Coding Certification (i.e., CCS, CCS-P, CCP or different nationally acknowledged designation) and / or demonstrated well being care coding expertise
Most popular Qualifications:
2+ years MS Venture, Entry, Phrase, Excel, PowerPoint, SharePoint, and Visio
Earlier expertise with SQL
Earlier Healthcare Business expertise
Earlier Group Lead or Challenge Lead expertise
Earlier healthcare expertise
Careers with UnitedHealthcare. Let’s speak about alternative. Begin with a Fortune 14 group that is serving greater than 85 million individuals already and constructing the business’s singular status for daring concepts and impeccable execution. Now, add your power, your ardour for excellence, your close to-obsession with driving change for the higher. Get the image? UnitedHealthcare is serving employers and people, states and communities, army households and veterans the place ever they’re discovered throughout the globe. We deliver them the assets of an business chief and a dedication to enhance their lives that is second to none. That is no small alternative. It is the place you are able to do your life’s greatest work.(sm)
Variety creates a more healthy environment: UnitedHealth Group is an Equal Employment Alternative / Affirmative Motion employer and all certified candidates will obtain consideration for employment with out regard to race, shade, faith, intercourse, age, nationwide origin, protected veteran standing, incapacity standing, sexual orientation, gender id or expression, marital standing, genetic info, or some other attribute protected by regulation.
UnitedHealth Group is a drug-free office. Candidates are required to move a drug check earlier than starting employment.
Job Key phrases: healthcare, monetary evaluation, database management, management, medical coding, Chicago, Illinois, IL, telecommute, work-from-house, distant, telecommuter
Source: https://www.businessnetworkingorangecounty.com/28053/senior-business-analyst-telecommute-unitedhealth-group-chicago-il/
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