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Business Analyst, Medicaid Encounters - Minnetonka, MN

UnitedHealth Group

Minnetonka, MN
Job Code:
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Job Details

Business Analyst, Medicaid Encounters - Minnetonka, MN(Job Number:725701)

We are the largest health benefits company dedicated to providing diversified solutions to states that care for the economically disadvantaged, the medically underserved and those without benefit of employer-funded health care coverage.
Community & State participates in programs in 26 states and serves approximately four million beneficiaries of acute and long-term care Medicaid plans, the Children’s Health Insurance Program (CHIP), Special Needs Plans and other federal and state health care programs. Our mission is to help the people we serve live healthier lives, and our goal is to be the plan of choice
Community & State Encounter team has oversight of complete, timely and accurate encounter submissions to state partners. This includes working with health plans and states on process improvements, implementing new requirements and analyzing current production results. This role will part of a team working on a specific state’s encounter submission performance.
Primary Responsibilities:
  • Financial completeness, contractual performance metric and submission statistic report creation and analysis
  • Identify and document member, provider and / or claim process changes needed to improve encounter results
  • Support short and long term operational / strategic business activities through analysis
  • Work with the IT Department to monitor production process and implement system changes to meet state requirements

Job Business Analysis
Primary Location US-MN-Minnetonka
Other Location 
Organization C&S Ops - Encount & Bus Intel
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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