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.

You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

You're empowered to do your best by supporting Optum Government Solutions Massachusetts (MA) Long Term Services and Supports (LTSS) Third Party Administration (TPA) program. Supporting the Commonwealth of Massachusetts, the MALTSS TPA program manages several elements of MassHealth's LTSS program, including prior authorization, provider enrollment and credentialing, program integrity, and quality improvement. The Sr. Business Analyst (quality) will be responsible for end-to-end quality activities related to the MALTSS business, as well as creating, documenting, and improving business processes. This position will support the quality lead on quality improvement activities, including identifying process improvements, quality reporting, analysis, and tracking and trending of data to drive new process improvement opportunities (QIPs).  

• Generally work is self-directed and not prescribed
• Works with less structured, more complex issues
• Serves as a resource to others
• Assesses and interprets customer needs and requirements
• Identifies solutions to non-standard requests and problems
• Solves moderately complex problems and/or conducts moderately complex analyses
• Works with minimal guidance; seeks guidance on only the most complex tasks
• Translates concepts into practice
• Provides explanations and information to others on difficult issues
• Coaches, provides feedback, and guides others
• Acts as a resource for others with less experience

Core Accountabilities:

• Ability to collaborate with several different business workstreams to understand their unique business functions and processes. Understand and/or anticipate potential downstream impacts current and/or new processes would have on the different business workstreams
• Strong organizational skills. Interpret regulations, contractual requirements and best practices for both clinical and non-clinical workstreams
• Identify quality issues/quality improvement opportunities (identify/analyze root cause issue) by utilizing business process knowledge and supporting reporting/analytics
• Lead & drive business process analysis by engaging business teams and identifying key business issues, gaps, or needs. Document findings (including timeline, justification, and impact) and make actionable recommendations for process changes, system enhancements to support a change or improvement in the business process, and/or quality improvements
• Proficient in tracking, trending, and analyzing data (e.g., metrics; analytics) to identify key issues, trends, and potential root causes (e.g., training issues; lack of understanding by user community) that point to process improvement opportunities. Recommend additional metrics/operational reporting, as needed
• Provide input and/or develop & maintain relevant policies, procedures, and/or training and job aids to support new or updated business processes to ensure ongoing consistency

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:

• 2+ years of experience as a Business Analyst or Business Process Analyst
• 2+ years working in healthcare, preferably Utilization Management and/or Provider Support
• 2+ years of experience in tracking and trending data for quality and/or process improvement
• Demonstrated experience identifying process improvements, quality reporting, analysis, and tracking and trending of data to drive new process improvement opportunities (QIPs)
• Background interfacing with external client stakeholders
• Proficient with Microsoft Office programs, including Word, Excel, PowerPoint

Preferred Qualifications:

• 2+ years working with Medicaid and/or State Government
• Understanding of Project Management processes/best practices
• Familiarity with Optum and Optum's products & services
• Experience with NCQA, URAC, or other regulatory organizations
• Familiarity with Salesforce
• Excellent time management, organizational, and prioritization skills with ability to balance multiple priorities

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

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.