SPARCS (X12) Sr. Data Analyst

SPARCS (X12) Sr. Data Analyst

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

We are seeking a skilled and motivated Senior Data Analyst to join the New York All Payer Database team.  We are seeking an individual that will support the operations of the Statewide Planning and Research Cooperative System (SPARCS) subject area of the New York All Payer Database (APD). This role will coordinate the solution approach for SPARCS projects, support client interactions, and engage both hospitals and support vendors to facilitate the timely and accurate processing of patient-level detail on patient characteristics, diagnoses, and treatments, services, and charge information from all New York licensed hospitals. This job requires knowledge of healthcare claims particularly the X12 837R, data processing operations, and data analysis, the ability to triage issues quickly and coordinate effective solutions. This is an operational role accountable for data management from New York State hospitals, actively coordinating SPARCS related projects, and interfacing with the New York Department of Health. This role will lead a services team working in a resource matrix environment and will develop solutions to address business requirements and issues.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Monitor day to day operations of the SPARCS Intake System including incident reports, defect tracking and resolution, extract generation, and maintenance and release activities
  • Serve as a key resource on complex and/or critical issues
  • Solves complex problems and develops innovative solutions
  • Perform complex data analysis primarily in SQL to support operations
  • Collaborate with stakeholders, SPARCS PM and team members to document and deliver ad-hoc data needs and special projects
  • Interpret, analyze, and provide recommendations regarding data accuracy and data collection needs and processes
  • Proactively assess and identify opportunities to enhance existing and to develop new data collection and reporting solutions
  • Provide explanations and information to others on complex system functions and issues

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 5+ years of data management and analytics experience in a matrixed organization
  • 5+ years of SQL experience querying Oracle databases at an intermediate to advanced level
  • 3+ years of experience with X12 transactions with focus on the 837R, 999, and 277CA transactions. Experience should include the ability to evaluate the transaction, understand dependencies, and troubleshoot issues
  • 3+ years knowledge of healthcare claims, member enrollment, and transaction management
  • 3+ years of working with large healthcare data sets to research issues and report on operations
  • Proven solid knowledge of relational databases, data marts and data warehouses
  • Proven ability to translate business requirements into technical solutions
  • Proven ability to effectively communicate findings clearly and concisely in writing and verbally to both technical and non-technical audiences

Preferred Qualifications:

  • Experience with Hospital/Facility claims
  • Experience using Optum Transaction Validation Manager (OTVM)
  • Knowledge of Health Care Industry and related business functions

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

External Candidate Application

Internal Employee Application

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