Senior Business Analyst Consultant - Remote

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 Senior Business Analyst Consultant, Payment Integrity will serve as the primary business owner coordinating with the Market, Finance, Product, Medical Directors and Healthcare Economics to identify and implement payment integrity opportunities.  The BA Consultant will also work closely with Optum Insight and external vendors as well as our national affordability team and Optum Care payment integrity operations teams.  The focus is on ideation and implementation of incremental opportunities.  The position will be responsible for deploying a PI operating model which will encompass the following activities:Delivering requirements for building operational dashboard reporting on existing programs Identify pipeline of program gaps and create roadmap for implementation Creating business case to influence market partners and stakeholders  to prioritize and deploy new edits, vendors and programsProducing standardized savings reporting aligned with HCE approved methodologies across multiple businesses Reporting performance to various stakeholders Holding PI vendors accountable for product performance and implementation timelines You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Provide PI leadership and expertise across all integrated and non-integrated PI marketsProvide market-facing support & communications (H&C, Behavioral, Kelsey Seybold, CA, Facets)Provide leadership over market communications to ensure program performance is understood, gross and incremental savings targets are aligned at the national and regional levelLead program management for all non-integrated and integrated PI servicesDevelop PI roadmap for non-integrated marketsCollaborate with PI operational partner to execute on strategic initiativesWork across regional businesses including local markets, medical directors, product owners, HCE and financeLead the savings reporting and forecasting communications for all PI programs across all marketsDevelop executive presentations to communicate performance, opportunities, strategyProvide vendor management, operational support and partnership with internal and external entities to ensure that the appropriate operational processes are in place and proper follow up/communications are occurringDrive favorable algorithm outcomes by partnering with matrix partners to provide policy expertise which will drive market savings and medical expense reductionEffectively plan staff responsibilities and manage deliverables to meet department goals and planned PI expansionsLead and collaborate with UHC PI, Optum Insight PI, Optum Health PI and market stakeholdersEnsure adherence to state and federal compliance policies, reimbursement policies and contract complianceYou’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:10+ years of healthcare leadership experience7+ years of experience working within a health plan and/or managed care business operations7+ years in leadership role with experience in management of front line staff5+ years of experience in forecasting and budget management5+ years of PI ideation, pipeline and CBA experience2+ years vendor management experienceExperience coordinating and navigating complex matrixed organizationsProven ability to manage competing priorities, make decisions, and effectively execute across a large, complex fast faced organizationDemonstrated ability to gather and analyze information from multiple sources and use to form a cohesive and comprehensive recommendation or problem solutionPreferred Qualifications:Certified Coder in ICD 10 and ICD 9 or RN/LPNLean Six Sigma (Green belt/Kaizen)Experience in fraud detection, analytic methodologies, payment policies and provider contractsClaims processing expertiseOptum Care / Optum Health expertiseDemonstrated high degree of interpersonal and relationship building skills to engage market stakeholders and matrix partners*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyThe salary range for this role is $106,800 to $194,200 annually based on full-time employment. 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.Brand: OH Risk Ops & Ent Clin SrvcsJob ID: 2262798Employment Type: Full-timeJob Area: Business & Data AnalyticsFunction: GeneralIndustry: Direct Health/Medical Insurance Carrier