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Business Analysis Consultant, Healthcare Business Solutions - Eden Prairie, MN

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Job Details

Business Analysis Consultant, Healthcare Business Solutions - Eden Prairie, MN(Job Number:710010)

M LTSS (Long Term Services and Support) includes services that people with disabilities and chronic conditions use to meet their personal care and daily routine needs. LTSS are delivered in home, community and institutional settings across the care paradigm. It includes: adult day healthcare, durable medical equipment, personal care services, home healthcare and, physical therapy amongst other things. We would be providing TPA services to 176k with $3.2B in annual spend. MA’s goal is to reduce cost and improve outcomes. There are 2,546 LTSS providers for 16 service types.


This position will be responsible for providing business analysis and enabling technology support for MA LTSS TPA Contract and other new business initiatives while working closely with other functional leaders within the team and also other supporting organizations within Optum and UnitedHealth Group. We are looking for an enthusiastic, energetic, accountable and seasoned individual with extensive hands-on experience in healthcare data analytics who is willing to work in a very dynamic environment and accept risks and rewards of a start-up, which includes a willingness to "roll-up their sleeves and pitch in where needed to meet all deliverables.”


Primary Responsibilities:

  • Work with MA LTSS Leadership and the client to develop program reporting and analytic strategies and lead the implementation

  • Develop operational reporting to satisfy state and contract requirements

  • Develop business intelligence to demonstrate program adherence to required SLA’s

  • Provide clear direction for high complexity problems/issues

  • Develop and maintain operational policies and procedures

  • Responsible for ensuring business workflows are up-to-date and operationally efficient

  • Lead regular meetings with the client and internal/external stakeholders to review and discuss updates and outstanding issues

  • Responsible for developing and reviewing corrective action plans to address and/or resolve relevant internal and/or external stakeholders' concerns or issues regarding operational issues

Strategic Planning / Business Analysis

  • Lead requirements gathering, and document requirements specifications according to standard templates, using natural language simply, clearly, unambiguously, and concisely

  • Review, analyze and interpret contract and develop detailed business / technical requirements

  • Responsible for developing operational and clinical processes and identify technical solutions to deliver the outcomes

Provide technical solutions

  • Develop detailed requirements and technical solutions using various technology platforms such as and OpenSpan

  • Recommend improvements for operational process and IT system and implement the enhancements while working closely with other functional managers

  • Work with internal and/or external partners to interpret contractual requirements in order to ensure effective problem solution and strategy implementation

  • Conduct end-to-end testing of applicable processes, tools, procedures, and systems platforms to validate adherence to RFP/contract requirements

  • Work with internal partners to identify resource requirements and/or create budgets and forecasts

Job Business Analysis
Primary Location US-MN-Eden Prairie
Other Location 
Organization Optum Sr Mgmt
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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