Capitation Strategic Planning Consultant - Remote

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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. 

Primary Responsibilities:

• Provides subject matter expertise on various claims/capitation platforms (i.e., NDB, UNET, CSP Facets, COSMOS, NICE)
• Business systems subject matter expert (SME) for projects related to integrations, migrations & new products, application development
• Positions in this function are responsible for various activities related to the database structures which may include any or all of the following: reporting and extracting data for various reports and analyses, initiating database improvement
• Ensures projects are completed on time and are in scope
• Develops and maintains standards for database integrity and quality assurance, coordinates corrective activities to clean database and retain users, and manages communication processes with other departments regarding database improvements
• Coordination and completion of project task assigned to meet deliverable dates
• Makes presentations to management on project updates
• Establishing, communicating & evaluating business requirements & timelines associated with special projects, integrations, migrations, new product development that impact functional teams
• Contract analytics & configuration expertise in support of functional teams
• Improve process flows & increase automation through system/tool enhancements related to provider installation inclusive of time studies
• Collaborating with technical resources to implement system solutions inclusive of testing enhancements when required
• Review and approval of system/tool design documents & business requirement documents
• Assisting with the development of strategic business solutions through research, audits and analysis of data and/or business processes
• Ad hoc requests for research & analysis to troubleshoot system issues/discrepancies
• Self-Directed
• Serves as a key resource on complex and/or critical issues
• Solves complex problems and develops innovative solutions
• Performs complex conceptual analysis
• Reviews work performed by others and provides recommendations for improvement
• Provides explanations and information to others on the most complex issues
• Motivates and inspires other team members
• Assist with training new hires

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 accounting/financial data analysis and/or project support experience within the healthcare industry
• 4 years of working with Provider Contracting and Data structures
• Intermediate experience in MS Office Suite, including MS tools to manipulate data (EXCEL/ACCESS)
• Proven ability to communicate effectively to both technical and non-technical individuals from diverse backgrounds

Preferred Qualifications:

• Working knowledge of UNET, FACETS, NDB, CIRRUS, COSMOS, ECAP or NICE
• Intermediate SQL knowledge
• Knowledge of IT System Lifecycle and Agile process
• Understanding of the capitation lifecycle process
• Healthcare insurance background and experience with provider contracts or provider data
• Intermediate background in risk sharing model

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

California, Colorado, Connecticut, Hawaii, Nevada, New York, New Jersey, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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.

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.