Sr. Business Systems Analyst - San Antonio, TX or Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

The Sr Business Analyst, Risk Adjustment supports WellMed by providing critical thinking, analysis, gather requirements to achieve objectives and recommendations on business needs. The position is responsible for providing analysis skills, monitoring organizational performance to plan, identifying factors to determine and recommend areas of business development and enhancement, and developing clear action plans to drive processes. Responsible to learn and understand the Medicare Risk Adjustment business and the company strategy to achieve optimal care for our members.

Primary Responsibilities:
  • Completes thorough business analyses, which includes examining business processes and workflows for optimization and/or performing statistical and/or data analyses, transforms data into meaningful, professional, and easy to understand formats for leadership review and develops recommendations and reviews findings with peers and leaders
  • Collaborates with the appropriate teams to complete work items, contention meetings, review solution options or deliverables, schedules, and deadlines. Serves as the liaison between departments, markets, and IT for all Quality/Risk Adjustment reporting needs
  • Troubleshoots all errors and data inconsistencies and coordinates resolutions to issues
  • Documents and updates workflow changes, training plans, policies and procedures and builds and documents business requirements within company guidelines that support the design process
  • Coordinates and completes user acceptance testing (UAT) with the purpose of verifying that the solution provides the expected results with the business objectives, success criteria and individual business requirements
  • Plans, develops, implements, and evaluates Quality/Risk Adjustment programs and projects, coordinates business goals and objectives, collaborates with project team members, develops measurable project goals and objectives and monitors progress to completion. Facilitates communication between team members and identifies and coordinates assignment of internal and external resources to meet project requirements
  • Develops or assist in the development of work plans, time schedules and estimation of resources for solutions
  • Provides subject matter expertise and operational support to business partners
  • Directs and validates quality of work and functional direct team members to achieve operational objectives
  • Performs all other related duties as assigned

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:
  • Bachelor's Degree in Health Care Administration, Business Administration, Information Systems, or a related field or 3+ additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree
  • 3+ years of business analysis, or healthcare operations experience
  • 1+ years of experience performing solid analytical and statistical skills used in evaluating and analyzing data
  • Proficient with MS suite (PowerPoint, Word, Visio, Outlook)
  • Intermediate Excel (report, compile data, and manipulate data)
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:
  • Ability to perform this role in an office setting based in San Antonio TX
  • 4+ years of Healthcare or Quality/Risk adjustment experience
  • Experience using query languages (MySQL, Microsoft SQL Server Management, or other equitable languages)
  • Excellent oral and written communication skills and ability to interact one-on-one and consult with all levels of leadership

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Keywords: Sr. Business Systems Analyst, Business Systems Analyst, Business Analyst, San Antonio, TX, Texas