Here at UnitedHealthcare, like Optum, is part of the UnitedHealth Group family of businesses, we'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm) The Intel Center is designed to create an information intelligence system that provides robust data visualization in order to accelerate the flow of actionable intelligence throughout the organization. The Business Process Consultant role will use our Big Data environment to provide visualizations and recommendations to the Payment Integrity value streams. Primary Responsibilities:Create, control and improve end-to-end business processes Lead process design and project implementation teams in process improvement activities Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools Create quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement using applicable tools Assist in the creation, implementation and evaluation of Total Quality Management (TQM) programs
Required Qualifications: Understanding or experience of working in the Clinical, Medical or Healthcare industry Ability to intruded and gain insight in Data Strong experience in writing business and/or system requirements and business / finance analysis Strong experience with documenting processes and practices, often in accepted project methodology artifacts, while effectively prioritizing multiple tasks, priorities, projects, and deadlines Experience working with data sources Ability to analyze large amounts of data, detect, design and implement opportunity areasPreferred Qualifications:Bachelors degree in Business, Finance, Health Administration, related field or equivalent work experience Experience in Insurance Claims Experience in Provider and Provider Data Experience in Fraud Fully proficient in credentialing Previous Team Lead or Project Lead experienceCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm) 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. Job Keywords: Process Consultant, Business Consultant, Healthcare Consultant, Dublin, Letterkenny, Ireland
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.