Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Business Process Consultant in Cozeva Operations Team will be responsible for providing support to Optum market being onboarded as well as operational on Cozeva as a part of OptumCare strategic platform quality tool to improve effectiveness and performance of quality program and overall STARs rating. Candidate will also act as a project lead and business analyst for the team and will be responsible for creating business requirements, completing data flow diagrams, process documentation and improvement. Candidates should be able to demonstrate flexibility and be adaptable to change and possess good independent decision-making capabilities. Candidate will be responsible for supporting key business decisions, data provenance, UI validation, HEDIS measure validation, and health plan submission processes.

Primary Responsibilities:

• Focus on implementation and operational aspects of assigned Optum markets utilizing Cozeva
• Act as a liaison between Optum markets, Cozeva (Vendor) and other stakeholders (data teams, health plans)
• Leads complex projects that require cross functional coordination
• Responsible for issue management and facilitate solutioning to improve Cozeva adoption
• Create, maintain and communicate quality data flow diagrams
• Gather requirements, create business requirement document and perform UAT on Cozeva enhancements

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:

• Healthcare Quality experience
• Reporting, Data or Business analysis experience
• Possession of solid analytical/statistical skills used in evaluating and analyzing data
• Advanced Computer Skills (Excel, PowerPoint, Word, Visio, Outlook, Smartsheet)

Preferred Qualifications:

• 2 years demonstrated experience in managed care environment
• Experience in HealthCare quality, HEDIS, STARs programs
• Experience using Smartsheet
• Experience working with Quality software tool (such as Cozeva), EMRs

Soft Skills:

• Demonstrated excellent verbal and written communication skills
• Excellent customer service orientation
• Proven team player and team building skills
• Ability/flexibility to assume responsibilities and tasks in a constantly changing work environment

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.