Performance Guarantee Analyst - Telecommute

Company: UnitedHealth Group
Location: Miami
Posted on: June 24, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

• PG Performance Monitoring
  • Provide consistent, pro-active monitoring of performance guarantees throughout the year
  • Verify that each reporter has accurately calculated PG results by checking outliers and performing quality checks on data
  • Ensure timely entry of PG results including outreach to delinquent reporters as necessary to ensure all assigned reporters enter PG reports
  • Function as a subject matter expert, providing support of the PG application, and answering questions from internal stakeholders
  • PG results calculation
    • Write/run/request accurate queries to generate assigned PG results
    • Calculate and enter timely all assigned PG results
    • Maintain queries, overseeing/performing updates reflecting operational changes as they occur
    • PG Client Reporting
      • Once reporters enter all PG results for any given client completely, perform quality checks on all PGs and generate complete and accurate client PG reports and send to Account Managers
      • Ensure all failed PG results are accurate by checking raw data, recomputing each result, and validating that no terms and conditions (such as minimum numbers, exclusions and inclusions both in the preamble language and the PG itself) invalidate the PG
      • Ad Hoc Reporting/PG evaluation
        • Pull ad/hoc PG data as requested
        • Assist in tracking/trending of PG performance
        • Serve as the backup to the EAP PG loading and Reporting SME
        • PG System Training
          • Train new reporters as necessary on the PG recording software
          • Maintain accurate and up-to-date PG training materials
          • Other duties as assigned 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:
            • Undergraduate degree or equivalent experience
            • 3+ years of experience in hands-on data analysis of healthcare or administrative data
            • Intermediate level of proficiency with Microsoft Excel (pivot tables, vlookup)
            • Proven attention to detail and excellent organizational skills/ability to manage multiple products simultaneously
            • Demonstrated ability to work independently in a rapidly changing environment
            • Demonstrated ability to adhere to timelines and deadlines
            • Demonstrated ability to work well within a team that has many remote team members Preferred Qualifications:
              • Demonstrated awareness of when to appropriately escalate issues/risks
              • Excellent communication skills, both written and verbal
              • Intermediate to advanced level of proficiency with MS Word and MS PowerPoint
              • Ability to demonstrate and apply understanding of UnitedHealth Group's business (e.g., specific business capabilities, functions, processes, and business cycles)
              • Ability to demonstrate and apply understanding of applicable regulations (e.g., HIPAA, SOX) and UHG policies/standards (e.g., RSA, security)
              • Maintain awareness of best practices/approaches related to quality and productivity (e.g., process improvement, DMAIC, Lean) To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with Optum. -Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do -your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut/Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. 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.

Keywords: UnitedHealth Group, Miami , Performance Guarantee Analyst - Telecommute, Professions , Miami, Florida