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Claims Business Process Analyst Senior @ Optum

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 Claims Business Process Analyst Senior

Job Description


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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.Primary Responsibilities:
  • Reporting Development and Data Integration
  • Assist with data projects related to integration with our core claims adjudication engines, eligibility, and other database items as necessary
  • Support the data leads by producing ad hoc reports as needed based on requirements from the business
  • Report on key milestones to our project leads
  • Ensuring all reporting aligns with brand standards
  • Ensuring PADU guidelines for tools, connections, and data security
  • Build a network with internal partners to assist with validating data quality
  • Analytical Skills Utilization
  • Applying analytical skills and developing business knowledge to support operations
  • Identify automation opportunities through the trends and day to day tasks to help create efficiencies within the team
  • Perform root cause analysis via the 5 why root causing to identify process gaps and initiate process improvement efforts
  • Assist with user testing for reports, business insights dashboards, and assist with automation validation review
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

    • Required Qualifications:
  • Degree or equivalent data science, analysis, mathematics experience
  • Experience supporting operational teams' performance with reports and analytics
  • Experience using Word (creating templates/documents), PowerPoint (creation and presentation), Teams, and SharePoint (document access/storage, sharing, List development and management)
  • Basic understanding of reporting using Business Insights tools including Tableau and PowerBI
  • Expertise in Excel (data entry, sorting/filtering) and VBA
  • Proven solid communication skills including oral, written, and organizational skills
  • Proven ability to manage emotions effectively in high-pressure situations, maintaining composure, and fosters a positive work environment conducive to collaboration and productivity
    • Preferred Qualifications:
  • Experience leveraging and creating automation such as macros, PowerAutomate, Alteryx/ETL Applications
  • Experience working with cloud-based servers, knowledge of database structure, stored procedures
  • Experience performing root cause analysis and demonstrated problem solving skills
  • Knowledge of R/Python, SQL, DAX or other coding languages
  • Knowledge of multiple lines of business, benefit structures and claims processing systems

    • Job Classification

    Industry: Retail
    Functional Area / Department: Data Science & Analytics
    Role Category: Business Intelligence & Analytics
    Role: Analytics Consultant
    Employement Type: Full time

    Contact Details:

    Company: Optum
    Location(s): Bengaluru

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    Keyskills:   power bi sql alteryx tableau vba python macros dbms sharepoint process improvement business process analysis root cause analysis dashboards stored procedures data quality r data science business insights dax etl data integration

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    Optum

    About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...

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