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 supports UnitedHealthcare Community Plan objectives and strategies to improve health plan performance on prioritized metrics and projects. Assists in assessment of progress and recommends strategies to achieve collaborative goals and facilitate sustainability. Uses project management, data analysis, and communication skills to work collaboratively with their supervisor, health plan team members, and other intra- and extra-department subject matter experts to coordinate assigned projects and initiatives.

If you are located in Phoenix AZ, you will have the flexibility to work remotely *, as well as work in the office 2 times per week as you take on some tough challenges.

Primary Responsibilities:

• Support short- and long-term operational/strategic business activities through data and claims analysis
• Recommend, develop, and implement business solutions through research and analysis of data, claims, and business processes
• Utilize project management skills including planning, development, coordination, monitoring, reporting, and evaluation of program/initiatives
• Assist with development of programs, projects, and strategies to improve member/provider satisfaction and better health outcomes, ensure regulatory compliance, and address health equity initiatives
• Health Plan lead for Electronic Visit Verification (EVV) and ongoing EVV project initiatives with claims research and data analysis. This includes coordinating with cross-functional teams, communicating with, and representing UHCCP at AHCCCS meetings/responding to AHCCCS requests and communicating status with various internal and external stakeholders (including leadership) as needed. Provide expertise and support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims
• Primary data analyst support for Health Equity initiatives, including:
  • Collaboration with Health Plan and shared services data and analytics partners to ensure race, ethnicity, gender, language, and other demographic data are collected and used to identify disparities
  • Procuring and analyzing data to drive decision-making and measurement of progress to address health disparities. Includes internal and external sources such as Health Information Exchange (HIE), Social Determinants of Health (SDOH), AHCCCS Member Demographic (DUGless), and AHCCCS Member Eligibility (834) files. Working internally with National partners to ensure the appropriate AZ data is being utilized consistently for all teams
  • Creating metrics and methodology to determine performance of health equity learning and development strategies
• Provide expertise and support to the Health Plan reviewing, researching, investigating, negotiating, processing, and reporting
• Lead project management and implementation initiatives

This is a complex, fast-paced, matrixed environment with a lot of moving parts. The challenge is in developing, enhancing, and maintaining operational information and models. You’ll be expected to interpret and analyze data from multiple sources and use it to tell a meaningful story and use that data to make process improvements.

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:

• 3 years of experience in business analysis
• 3 years of experience in developing reports, working with large data sets and making data-driven analytical decisions
• 2 years of experience in claims analysis and claims processing system
• 2 years in leading implementation of business solutions
• 2 years of managing relationships with clients and/or vendors
• 2 years in process improvement and quality assurance
• Intermediate skills with Microsoft Word (create and edit documents and add visual aids), Microsoft Excel (create, edit, sort, filter, create pivot tables), and Microsoft PowerPoint (create and edit presentation)
• Live within commutable distance to Phoenix, AZ (ZIP code: 85004)

Preferred Qualifications:

• Experience with Medicaid and/or Medicare programs
• Experience developing presentations

*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.