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Business Analyst II - March Vision Care - San Bernardino, CA

UnitedHealth Group

San Bernardino, CA
Job Code:
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Job Details

Business Analyst II - March Vision Care - San Bernardino, CA(Job Number:732131)

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

Primary Responsibilities:
  • Interpret provider contract terms, health plan agreements, and benefit plan source documents
  • Configure and maintain provider contract / pricing tables
  • Configure and maintain benefit plans and division of financial responsibility tables
  • Create and execute level I SQL queries in support of quality and user acceptance testing as well as general system research and trouble - shooting efforts
  • Perform testing on all system configuration implementations and changes
  • Perform peer audits on all system configurations, updates or client deliverables
  • Interface with Claims, Client Relations, Provider Relations, and all other customer support staff in solution of complex benefit and provider issues
  • Generate and process outbound encounter files and other inbound or outbound EDI files and coordinate process with plan partner representatives
  • Document business workflow diagrams using Microsoft Visio
  • Document and / or update business process procedures within Database Management in the form of written Policies and Procedures
  • Encounter Data error research, review and response level I
  • Intermediary between Business Services and Provider Services

Job Provider Contract Installation
Primary Location US-CA-San Bernardino
Other Location 
Organization E&I Spec Ben - Vision
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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