Senior Manager, Audit Intelligence and Analysis - 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.

Position in this function manage internal team of business analytics experts. This role is mission critical in turning audits into client cost savings and company revenue. This leader will balance multiple priorities based on the needs of the business and our 30+ clients. Our business is built on relationships and the successful candidate will have solid people skills to forge solid relationships with key internal and external stakeholders.

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

Primary Responsibilities:

• Assessing and creating a solution for client requirements including, but not limited to, reporting, invoicing, updating client systems, tagging, adjustment, selections and approvals/gates in the process
• Code programs and procedures to automate repeatable functions
• Accountable for end-to-end data quality in audit process. Managed data throughout process to identify any issues before internal or client impact. Cleans data as needed to reflect duplicate or expired claims
• Review data to identify trends and provide feedback to selections and mapping teams to improve algorithms and future results
• Leverage SQL queries to investigate issues, assess productivity and performance and prioritize workload
• Define the data needed to solve a problem or enable a decision, find, manipulate, and use that data to pinpoint the necessary actions
• When existing data does not suffice, create it, gather it, or find a proxy for it
• Collaborate with business partners to assess potential downstream and upstream impacts and to gather input and feedback from multiple areas of specialty
• Set clear objectives, milestones, timelines, and accountabilities for project and project team members. Manage to this plan and adjust as needed. Communicate any changes, particularly those with staffing and/or financial impacts
• Meet with clients on a project-specific basis to understand their concerns and goals and to communicate our work on their behalf
• Represent Audit on potential client calls and collaborate with new client implementation team members for a seamless handoff
• Effectively communicate with audit team to troubleshoot claims data for review
• Use tools and organizational skills to stay current with changes in priorities

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:

• 3+ years of experience with DRG facility payment methodology
• 3+ years of experience writing advanced SQL queries
• 3+ years of experience financial modeling

Preferred Qualifications:

• Leadership experience
• Knowledge of outpatient facility payment methodologies including APC, OPG
• External client-facing responsibilities

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

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

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.