UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Healthcare Data Analyst - Eden Prairie, MN-315788
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Healthcare Data Analyst - Eden Prairie, MN
Primary Responsibilities:
- Conduct research studies that may include analyzing, reviewing, trending and presenting information to support or refute hypotheses leading to the identification of heath care fraud and abuse
- Data analysis of medical claim history to substantiate fraud and abuse allegations stemming from pattern analysis, subject matter experts, professional associations, media and other sources
- Identify, coordinate, draft, execute, and present analyses on estimated over payments and other identified aberrant billing patterns
- Develop case strategies that take into consideration the legal, customer service and financial implications of each case
- Summarize and present complex patterns of fraud and abuse to internal and external subject matter experts and customers
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications
Qualifications:
Requirements:
-
3+ yrs experience using SAS
-
2+ yrs experience with fraud and abuse data mining and analysis
-
2+ yrs demonstrated ability to conceptualize client business problems and design analytic projects to address these problems
Assets:
-
Proficiency with MS Office applications including Access, Excel and Word
-
Health care claims data analysis experience a plus
-
Medicaid and/or Medicare program knowledge
-
SIU work experience a plus
-
Bachelors degree in Health Administration, Finance, Health Care Informatics or equivalent experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
