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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

This candidate will be a key contributor to a small team supporting all structured data submitters. Must be able to work on their own with minimal direction.

Day-to-Day activities:

• Monitor work queues based on file status
• SQL queries to support EISL reporting
• Work the Service Now tickets/Triage

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

Primary Responsibility:

• Handling of structured data files in support of HEDIS

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 

• Undergraduate degree or equivalent experience
• 3+ years working knowledge of SQL queries in tools such as SQL Server Management Studio by Microsoft to troubleshoot databases that store workflow information related to requests or to analyze incidents
• 2+ years of incident support, troubleshooting, and customer service
• 2+years of file/data processing and data integration automation and optimization
• 2+ years of experience assessing problems and implementing solutions or production fixes based on sound business practices, root cause analysis, process analysis
• Experience with standard health care file format including CCD, CCDA, HL7 etc.
• Experience with both common and emerging interoperability standards such as HL7 V2.x, as well as CCD, C – CDA XML V3, IHE profile, FHIR
• Healthcare experience, clinical data analysis experience
• Advanced knowledge of Microsoft office suite with focus on Excel, Word and Power point
• Knowledge of Salesforce, including data input and dashboard creation and reporting
• Familiar with web browser configuration and troubleshooting including Internet Explorer, Google Chrome and Mozilla Firefox
• Understanding of HIPAA and PHI compliance

Preferred Qualifications:

• Proven experience managing and influencing effectively in a matrix environment
• Configuration of Electronic Medical Record software experience such as Epic, Cerner, eCW, etc.
• Member encounter/clinical data experience
• Experience analyzing data and pulling information together for reporting purposes
• Knowledge of leading Provider EMR systems including Epic, Cerner, GE, Allscripts, Meditech or HIE
• Ability to communicate effectively with both technical and non-technical individuals
• Ability to tailor to the appropriate level of detail and information based on the audience
• Solid client management skills
• Solid organizational skills
• Superior process management, quality assurance, and analysis/reporting experience to drive overall accomplishments of goals
• Ability to adapt to a fast-paced, quickly changing environment
• Ability to work under pressure and manage multiple tasks simultaneously
• Critical thinking, problem solving skills

Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.(sm)

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $67,800 to $133,100. 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.

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

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.