20 hours

Senior Claims Business Process Analyst - Eden Prairie, MN

UnitedHealth Group
Eden Prairie, MN
  • Job Code
764575 Senior Claims Business Process Analyst Eden Prairie MN

Senior Claims Business Process Analyst - Eden Prairie, MN (764575)

Position Description

We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)



Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes and claim business rules. Include claims systems utilization, capacity analyses/planning and reporting, claims-related business and systems analysis. Ensure data integrity, data security and process optimization.


Primary Responsibilities:

  • Manage workforce management tools (implementations/maintenance/enhancements) and change management communications related to the tools across Claim, Provider and Support Operations

  • Responsible for the administration of the Quarterly Variable Compensation (QVC) program across Optum Transactions.  Communicate monthly, quarterly, and yearly QVC results to Claims Leadership

  • Monitor applications/processes that can influence production/quality/utilization results (i.e. ramp up schedules to ensure ramps are loaded correctly using the designated Optum ramp schedule) and provide guidance/recommendations to appropriate teams

  • Collaborate with Industrial Engineering Team to recalibrate productivity goals on a quarterly basis

  • Present productivity analysis and insights for operational and business review

  • Partner with Human Capital and Comp Team on the QVC program details and future implementations

  • Facilitate development and communicate changes/updates (i.e. meetings, town halls, etc.) of process documentation to support workforce management tools or other programs

  • Communicate changes in policies and procedures to team and Claims Leadership in a timely manner

  • Responsible for supporting and providing tours in the Optum Command Center for customers as needed


This position is located in Eden Prairie, MN

Required Qualifications:

  • 2+ years of data analysis experience in an office setting environment

  • 2+ years in a technical or metrics based environment; preferably claims and/or customer service

  • Experience in business process improvement and reporting

  • Working knowledge of Microsoft application software (i.e. Word, Excel, Visio, PowerPoint and Project)

  • Possess excellent written and verbal communication skills

  • Ability to work in fast-paced environment handling multiple priorities

  • Demonstrated problem solving skills and the ability to work collaboratively with other departments to resolve issues



Preferred Qualifications:

  • Bachelor's degree or higher level of education

  • Experience with claims processing platforms (UNET, COMET, or FACETS)

  • Macro development in Excel

  • SharePoint development / creation

  • Previous experience in reporting and analytics supporting multiple business areas is strongly preferred



Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)

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.


Job Keywords: Senior Claims Business Process Analyst, claims, claim systems processes, claims operations, claim business, claims systems utilization, capacity analyses, planning and reporting, claims-related business, systems analysis, Quarterly Variable Compensation, QVC, UNET, COMET, FACETS, Eden Prairie, MN, Minnesota

Job Details

  • Contest Number764575
  • Job TitleSenior Claims Business Process Analyst - Eden Prairie, MN
  • Job FamilyBusiness Operations
  • Business SegmentOptum Operations

Job Location Information

  • Eden Prairie, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt


Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Senior Claims Business Process Analyst - Eden Prairie, MN

UnitedHealth Group
Eden Prairie, MN

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast