29 days old

Utilization Management Business Analyst - Eden Prairie or Telecommute - 898405

Eden Prairie, MN 55344 Work Remotely
  • Job Code
Tough challenges? We know a thing or two about those. When you're on a mission to help people live healthier lives, the stakes couldn't be higher. As a Business Analyst Consultant, you will help rewrite the future of the health care system. You'll analyze data and deliver bold, business-savvy ideas to impact the lives of millions. Along with ground-breaking challenge, you'll have the support and resources of a Fortune 6 company. Join us.

Primary Responsibilities

  • Collaborate with business and technology departments to define, develop and document business requirements to ensure clients' needs are captured and delivered (e.g. use case-based Business Requirements Documents with evidence demonstrating competence writing unique, code-able, testable business requirements; user stories Requirements Traceability Matrix
  • Work closely with Developers, Quality Assurance Analysts, Architects, Business Partners and other Technology teams to ensure requirements and design are completely understood
  • Develop and maintain business context diagrams (e.g. business data flows, process flows) to analyze/confirm the definition of project requirements
  • Define the approach and effort required for defining business requirements (e.g. business, functional & non-functional)
  • Identify capability gaps between current state and desired state of the utilization management solution (e.g. system capacity, emerging technologies)
  • Learn and understand the backend of the utilization management solution and assist with basic configuration
  • Conduct research studies that may include collecting, analyzing, trending and presenting data and recommendations to management
  • Identify opportunities to engage external resources to provide solutions and contribute to the development of supporting documentation to facilitate appropriate vendor identification and selection (e.g. RFPs, RFIs, Statements of Work & contractual obligations)
  • Assist in quality assurance and user acceptance testing by writing test scripts, executing test cases and documenting defects (e.g. test case development; active participation and oral communication through defect triaging, use of application lifecycle management tools through code promotion)
  • Provide ongoing support to ensure proper implementation and adoption of the utilization management solution
  • Ability to work outside of "normal business hours" occasionally to assist with deployment & releases.
  • Perform minor project management duties including meeting minutes, technical documentation, project schedule adherence, and presentations to client leadership
  • Clearly communicate design solutions, requirements, status updates and outcomes to all stakeholders and varying levels of the organization
  • Act as the liaison between Business and Systems Analysts, Developers and Project Management groups
  • Work closely with business teams to strategize solutions that support long term business objectives

Limited travel is required for this role (less than 25% on average over a year's time but may involve travel for multiple concurrent weeks to satisfy specific client project requirements). Consultants who are not local to an Optum office facility work from a home office when not at the client site.

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:

  • 3+ years of experience in any of the following areas: Business Analysis, Systems Analysis, Project Management, Business Process Improvement, Data Analysis
  • 2+ years of experience in all phases of Software Development Life Cycle (SDLC) /System Development Life Cycle
  • 3+ years of building/creating project deliverables with the ability to manage complex work-streams
  • 3+ years of experience with MS Word, Excel, Visio, PowerPoint
  • Ability to work in highly technical and matrixed fast-paced environment
  • 2 years or more experience with Medicaid
  • 2 years or more experience with Salesforce
  • Ability to travel 25% on average over a year's time

Preferred Qualifications:

  • Bachelor's Degree or higher
  • Experience in all phases of Agile, Scrum, and other Software Development Life Cycle (SDLC) methodologies
  • Experience in a Management Consulting/Professional Consulting organization
  • Utilization management/prior authorization experience or experience working with UM/PA teams.
  • Experience translating business requirements into a detailed system specification
  • Experience facilitating Joint Application Design (JAD) sessions
  • Experience working with test plans and test cases
  • Document new APIs / Services and modify existing ones after evaluating the following: user stories, business requirements, high level design documents and database models
  • Experience with the following tools/applications: SAS, SQL, Tableau, JIRA, CA Agile, Aha!
  • Experience with the backend of Salesforce, including Flow, Process Builder and basic configuration
  • Experience working in a product development/management environment

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.

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.


Posted: 2020-11-05 Expires: 2020-12-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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:

Utilization Management Business Analyst - Eden Prairie or Telecommute - 898405

UnitedHealth Group
Eden Prairie, MN 55344

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast