Senior Capability Analyst – Remote

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Positions in this family perform research, design, development and management of new or existing products or capabilities to support the sale and/or internal use of services, solutions and/or functions.  Responsible for delivering and/or reviewing product or capability performance against expectations and facilitates or influences changes to portfolio to improve value.  Partners with internal and external stakeholders (key customers, partnerships, etc.) to define and drive future products or capability direction.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Use pertinent data facts to identify and solve a range of problems within area of expertise
• Investigates non-standard request and problems with some assistance of others
• Works exclusively within a specific knowledge area
• Prioritizes and organizes own work to meet deadlines
• Provides explanations and education to others on topics within the area of expertise
• Review findings and analysis from SME to initiate system enhancements 
• Facilitate meeting/host role for business rules, requirements, and research 
• Pursue follow up items assigned
• Document and approve Features, User Stories and Acceptance Criteria
• Support provider operations perspective on system enhancement projects
• Prioritize/PI Planning US and maintain backlog in Rally
• Lead discussions on sizing and work effort for Provider Selection related enhancements and provider operations enhancements that may affect provider selection
• Provide input and accept IT User Stories, technical documentation, and demonstrations
• Review QCA and UAT user stories, attend demos, review test cases, sign off on test cases on other projects that may affect Automated Provider Selection
• Provide input on test plan and results
• Support release check-out and post implementation
• Provide support for documentation of operations (screen reference docs, job aids, SOPs, training documentation, workflows) etc.
• Tending provider pick issues, root cause and drive process improvement initiatives for high trend or high impact items
• Capture and report provider selection statistics
• Deliver sustainable, financially sound solutions that solve a specific problem
• Support business strategy and new opportunities for business clients

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:

• 5+ years of experience with healthcare provider data and its business usage 
• 5+ years of NDB experience
• 3+ years of claims experience with CSP Facets 
• Proven to have Microsoft Office and Teams skills

Preferred Qualifications:

• Certified Green Belt 
• 2+ years of experience in presenting information in large project group meetings 
• 2+ years of experience successfully managing one or more major projects, which integrates multiple business areas or systems
• 1+ years of experience with Cost Benefit Analysis 
• Experience with Visio and Microsoft Project
• Proven rally or AHA process exposure 
• Proven track and report auto provider pick auto pick statistics 
• Proven to develop trending reports to illustrate common issues impacting provider selection by platform including heavy hitter’s analysis
• Proven to develop and drive solutions and remediation steps for common provider pick issues, whether the solution is business process change or system enhancement
• Proven willingness to handle a variety of different types of project assignments vs. a fixed role/function
• Proven solid business partner focus
• Proven ability to prioritize in an environment of rapid change
• Proven solid organizational and interpersonal skills
• Proven self-starter; team player; quality minded; focused; committed; work independently
• Proven ability to stay committed to long-term project goals
• Proven ability to direct project outcome based on long term business objectives
• Proven to have Microsoft Office and Teams skills
• Proven conceptual thinking capability
• Proven ability to work on own initiative

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

The salary range for this role is $71,600 to $140,600 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.