Job Descriptions

Optum, the fast-growing part of UnitedHealth Group, is a leading information and technology-enabled health services business. Our teams are dedicated to modernizing the health care system and improving the lives of people and communities.

Serving virtually every dimension of the health system, we work with a diverse set of clients across 150 countries – from those who diagnose and treat patients to those who pay for care, deliver health services, and those who supply the cures. Optum maintains operations across North America, South America, Europe, Asia Pacific and the Middle East. Our innovative partnerships provide technology and tools that enable unprecedented collaboration and efficiency. As a result, we can tap into valuable health care data to uncover insights and develop strategies for better care at lower costs.
 
Do you crave a challenge and relish the opportunity to solve complex problems using revolutionary thinking? If so, then take the next step in your career and dive deep into the world of data analysis and analytic development.  Help us transform the health care industry by joining a dynamic team of analysts dedicated to developing innovative analytics and automations that drive health care cost savings.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Letterkenny  office and telecommuting from a home-based office.

Primary Responsibilities of the Data Analyst:

• Research potential overpayment scenarios through the use of client policies and provider contracts, seeking to identify overpaid claims used to build recurring algorithms
• Identify and refine criteria to successfully build and enhance new and existing algorithm logic, ensuring correct claim payment
• Research and quickly identify patterns of claim payment abnormalities through big data analysis
• Develop metrics to forecast new algorithm profitability
• Write business requirements documentation for new algorithms and update existing documents as the algorithm logic is developed or changes over time
• Maintenance existing production algorithms to maximize performance while working directly with programmers to test and implement changes
• Facilitate new algorithm kickoff calls and training with matrix partners
• Monthly analysis of algorithm performance; forecasted vs. actuals
• Lead special projects with little to no manager supervision or assistance
• Breakdown complex problems into individual root cause

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 of the Data Analyst:

• Significant experience working healthcare claims lifecycle (ie: submission, processing, adjudication, and payment)
• Experience detecting data anomalies through the use of large data sets
• Experience communicating through multiple mediums to a variety of stakeholders  
• Experience working in a high-paced environment & working with large Data set.
• Proficient with Excel (must be able to create pivot tables, add foundational formulas, charts, etc.)
• Ability to effectively engage with internal clients (employees and leaders within other areas of the business)

Preferred Qualification of the Data Analyst:

• Analytical mindset with critical thinking skills
• Experience and in-depth knowledge of claims processing or claims auditing within UNET, NICE or USP

Skills

• Communication Skills
• Excel Skills

Experience

• 4 years