Key skills
SQLVisual Basic
About this role
Optum is committed to simplifying the health care experience and improving community health. As a Business Data Analyst, you will monitor patterns of potential fraud and support compliance through data analysis and reporting. The role involves collaborating with investigations teams and producing various reports to enhance operational performance.
Responsibilities:
- Perform data analysis and generation activities for the investigations team including data extracts, summaries, random sampling, and special projects
- Prepare Healthcare claims data for investigative business needs and work with investigations teams to better understand the content of the data sets
- Establish and implement standard policies, procedures, processes and best practices across the company to promote compliance with applicable laws and contractual obligations
- Support the collection of data for SIU (Special Investigations Unit) activities and generate routine regulatory and executive level reports for distribution
- Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products, processes and technologies
- Analyze and interpret data to identify trends, patterns and opportunities for the business and clients
Requirements:
- Bachelor's Degree in a related area of study
- 2+ years of experience as a data analyst supporting a healthcare claims environment or projects, etc
- 1+ years of experience with VBA (visual basic for application)
- 1+ years of experience with SAS and / or SAS EG
- 1+ years of experience in creating and using data modeling tools, spreadsheets, and information acquisition tools
- Experience communicating complex information via phone conversations and emails to non-technical clients, external customers, internal customers and executives
- Advanced level of proficiency with MS Excel (advanced formulas, pivot tables, macros, lists, statistical functions, etc.)
- Intermediate level of proficiency with MS Office (Word, PowerPoint and Outlook)
- Industry Certification (CFE, AHFI, CPC)
- Experience working in a government, legal, health care, managed care and/or health insurance environment in a regulatory, privacy or compliance role
- Experience working independently and researching regulations
- SQL experience