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Business Analyst (Coordination of Benefits) - Frederick, MD or Telecommute

UnitedHealth Group

Frederick, MD
Job Code:
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Job Details

Business Analyst (Coordination of Benefits) - Frederick, MD or Telecommute(Job Number:714931)

 As a Business Analyst, you'll manage and drive processes and improvement initiatives to support the Optum Coordination of Benefits (COB) Operations team.


This high energy position affords you the ability to serve as a subject matter expert in the Medicare, Employer & Individual, and Medicaid COB line of business, solve moderately complex issues in order to meet stakeholder expectations and financial goals. You’ll assist in implementation of solutions to enhance productivity, improve quality and customer satisfaction. By researching and documenting business requirements and utilizing your sharp analytical skills to fulfill the needs of the business and/or clients, you will have an impact on healing the health care system. This is a challenging role that creates an opportunity to grow and develop while doing your life's best work. (sm)

Primary Responsibilities:

  • Conduct all needed research, problem solving and requirements-gathering activities with business and technical stakeholders to identify, collect and document specific business requirements (i.e., business, functional and non-functional)

  • Conduct current analysis to gather current business, functional and non-functional requirements and constraints (i.e., "as-is" state)

  • Define and document desired future requirements using appropriate tools/processes (e.g., "to-be" process maps) based on input from all applicable stakeholders.

  • Adhere to established project lifecycle standards

  • Develop business data flows, process flows, project plans to analyze/confirm the definition of project requirements

  • Identify the business impact of process/system changes, using appropriate tools as needed

  • Identify operational impact and capability gaps between current state and desired state (e.g., operational)

  • Ensure that project requirements are clearly and comprehensively documented, understood, communicated and support traceability

  • Ensure that project requirements meet all applicable Medicaid & Medicare regulations and requirements.

  • Communicate ongoing updates to all stakeholders to ensure understanding of and alignment with project status/changes

  • Support and contribute to the identification/prioritization of business/process solutions

  • Seek opportunities to improve operating efficiencies/effectiveness

  • Support ongoing operations/maintenance/enhancement of existing solutions, in partnership with applicable stakeholders (e.g., IT, business owners/ partners, vendors)

  • Establish and perform testing scenarios and provide direction to developers to ensure requirements are adhered to.

  • Provide ongoing support and tracking to ensure proper implementation and adoption of the solution

  • Support ongoing monitoring and adjustment of project scope/timelines/dependencies

  • Develop and/or contribute to training programs to support implementation of the solution

  • Ensure that identified solutions meet business requirements for all applicable stakeholders (e.g., traceability)

  • Will be responsible for communicating with leadership and stakeholders, including being able to do presentations.

Job Business Analysis
Primary Location US-MD-Frederick
Other Location 
Organization Optum Ops-Payment Integrity
Schedule Full-time
Number of Openings 3
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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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