You are a thought leader who thrives on developing new solutions to solve tough challenges. As a critical member of our business analysis team, you will help rewrite the future of UnitedHealth Group. Here, your analytical and innovative skills will help us with our mission of helping people live healthier lives. Yes, we share a mission that inspires. And we need your organizational talents and business discipline to help fuel that mission. Are you ready to analyze data and deliver bold, business - savvy ideas to impact the lives of millions? Positions in this function include those responsible for a variety of functions related to the general management and general business operations across the company and its businesses. Primary Responsibilities:Conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending and presenting information for operational and business planningSupport short and long term operational / strategic business activities by developing, enhancing and maintaining operational information and modelsDevelop and implement effective / strategic business solutions through research and analysis of data and business processesReviews the work of othersDevelops innovative approachesSought out as expertServes as a leader / mentorAnticipates customer needs and proactively develops solutions to meet themServes as a key resource on complex and/or critical issuesSolves complex problems and develops innovative solutionsPerforms complex conceptual analysesReviews work performed by others and provides recommendations for improvementForecasts and plans resource requirementsAuthorizes deviations from standardsMay lead functional or segment teams or projectsProvides explanations and information to others on the most complex issuesMotivates and inspires other team membersDemonstrate and apply understanding of UnitedHealth Group's business (e.g., specific business capabilities, functions, processes and business cycles)Demonstrate and apply understanding of health care industry trends and their driversDemonstrate and apply knowledge of technology industry trends and toolsDemonstrate and apply understanding of applicable regulations (e.g., HIPAA, SOX) and UHG policies / standards (e.g., RSA, security)Demonstrate understanding of the difference between business requirements and technical solutionsMaintain awareness of best practices / approaches related to the business analysis discipline (e.g., Business Analysis Body of Knowledge)Maintain awareness of best practices / approaches related to quality and productivity (e.g., process improvement, DMAIC, Lean)Participate in the definition of project roles to drive the gathering of detailed business, functional and non-functional requirementsIdentify applicable technical and business stakeholders, using appropriate Stakeholder Analysis tools / approaches (e.g., RACI, SIPOC)Define the approach and effort required for defining business requirements (i.e., business, functional and non-functional)Define and update the project schedule to track / measure progress of the requirements-gathering process (e.g., status, milestones, tasks, deliverables)Define approach for storing and updating business requirements (e.g., SharePoint, ADR, Rally, Quality Center)Adhere to established project lifecycle standards / requirements (e.g., SDLC, UDP, RSA, ADR requirements)Collaborate with business and technical stakeholders (e.g., business owners, process owners, domain experts) to identify specific business requirementsConduct current state analysis to gather current business, functional and non-functional requirements and constraints (i.e., "as-is" state)Document future state using appropriate tools / processes (e.g., "to-be" process maps)Gather information needed for the definition of requirements (e.g., business use cases, user stories)Facilitate all needed requirements-gathering activities (e.g., meetings, workshops, JAD sessions)Develop business context diagrams (e.g., business data flows, process flows) to analyze / confirm the definition of project requirementsDefine desired future state requirements based on input from all applicable stakeholdersIdentify the business impact of system / application changes, using appropriate tools as needed (e.g., impact analysis, FMEA, risk analysis)Identify capability gaps between current state and desired state (e.g., system capacity, emerging technologies)Ensure adherence to enterprise standards for gathering and documenting project requirements (e.g., RSA, UDP, applicable templates)Collaborate with technology stakeholders (e.g., System Analysts, architects) to communicate business and technical requirementsCollaborate with project team members to create detailed requirements documents (e.g., PRDs, Requirements Specifications, assumptions and constraints, VFQs, user stories)Ensure that project requirements are clearly and comprehensively documented, understood and support traceability (e.g., peer review, SMART, requirements traceability matrix, Agile inspection)Ensure that project requirements meet all applicable regulations (e.g., HIPAA, SOX, ARRA, DOI, audit requirements)Communicate ongoing updates to all stakeholders to ensure understanding of and alignment with project status / changesManage / update requirements documents as needed throughout the design / development process (e.g., document revisions, change requests)Perform reviews with all stakeholders to obtain approval / sign-off of project requirements documents (e.g., walkthroughs)Support, contribute to and/or facilitate the identification / prioritization of business / process solutions (e.g., analysis tools, solutioning discussions, solution selection matrix, IET, use case development)Participate in reviews of conceptual designs and provide appropriate guidance / consulting to help ensure that they satisfy all documented requirements (i.e., business, functional and non – functional)Partner with applicable stakeholders to identify the operational impact of changes within defined solutions (e.g., changes to policies / processes / procedures, compliance with applicable legal / regulatory requirements, additional requirements)Seek opportunities to improve operating efficiencies / effectiveness (e.g., downstream impacts, role / responsibility realignment, enhanced business value)Identify opportunities to engage external resources to provide solutions, and contribute to the development of supporting documentation to facilitate appropriate vendor identification and selection (e.g., Requests For Proposals [RFPs], Requests For Information [RFIs], Statements of Work [SOWs], contractual obligations)Support ongoing operations / maintenance / enhancement of existing solutions, in partnership with applicable stakeholders (e.g., IT, business owners / partners, vendors)Develop and implement plans for piloting and staging solutions, and manage stakeholder expectations, as applicableAnalyze and balance risk / reward considerations for identified solutions (e.g., options analysis)Ensure that all stakeholders are fully informed of new / updated solutions, and identify/escalate any issues communicated by stakeholdersSupport ongoing monitoring and adjustment of project scope / timelines / dependenciesDevelop and/or contribute to training programs to support implementation of the solutionEnsure that identified solutions meet business requirements for all applicable stakeholders (e.g., traceability)Identify and/or establish appropriate testing metrics / targets to validate that business requirements are being met (e.g., performance metrics, process deliverables, traceability, business value)Conduct and/or support testing activities, as appropriate (e.g., production testing, regression testing, user acceptance testing, production validation, compliance with test scenarios)Plan/execute user testing scenarios / scripts and prepare test dataTranslate problems / issues identified during the testing / piloting process, and engage the appropriate stakeholders (e.g., business, IT) to help identify impact and potential solutionsCommunicate testing results to appropriate stakeholders (e.g., business owners, operations groups, project team)Validate usability of technical solutions prior to deploymentParticipate in creation of implementation plans for identified solutions (e.g., warranty period support)Provide ongoing support to ensure proper implementation and adoption of the solution (e.g., post-deployment support, definition / monitoring of control plans)Adhere to established systems development standards / requirements (e.g., SDLC, UDP, RSA, ADR requirements)
Required Qualifications:Bachelor's degree or HS Diploma with 5 years of experience5+ years of experience in gathering requirements, developing reports and analyzing dataKnowledge of CMS risk adjustment modelExperience gathering requirements from the client / business and documentingExperience with process improvement, workflow, benchmarking and / or evaluation of business processesAbility to communicate analysis including trends and opportunities to clients and the business in writing and verballyAbility to problem solve including multiple priorities and research conflicting and/or inaccurate dataWorking knowledge of relational databases, database structuresGreat organizational skillsAbility to multi - taskAbility to manage / coordinate projects on a case by case basisPreferred Qualifications:SAS experienceIntermediate level of proficiency with Excel, Access And Tableau and running database queriesRisk Adjustment, health plan or medical group experience Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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.
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.