Enterprise Chargemaster Analyst - UnitedHealth Group

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.

When you're setting the pace for change, it's not only challenging, it's exhilarating. We're building new health care solutions right and left and shaping the system as we go to help millions live healthier lives. That's why we need Business Analysts who can keep up and dig deep. When you join us, you'll drive processes and improvement initiatives that have an impact on healing the health system. Sound like your kind of challenge? Join a Fortune 6, industry leader and find out how you can be a part of something life changing for millions.

Under the direction of the Manager of Enterprise Chargemaster, the Enterprise Chargemaster Analyst maintains an accurate and compliant chargemaster.  

Primary Responsibilities:

• Works collaboratively with peers and managers, throughout the NLH members, including but not limited to coding, PFS and charge services IT to assure the integrity of enterprise-wide chargemaster

• Contributes to process improvement initiatives within the enterprise revenue cycle by recognizing process improvement opportunities and assists with conducting root cause analyses

• Works collaboratively with peers and managers to facilitate an understanding of current charge methodology, and regulatory requirements
• Maintains a compliant enterprise chargemaster for accurate and optimal reimbursement in accordance with regulatory guidance and Guiding Principles document
• Maintains a working knowledge of guiding principles, regulatory mandates, and payer requirements and applies understanding in the maintenance of the enterprise chargemaster

• Routinely assists with performing internal audits of the enterprise chargemaster and addresses variances in a timely manner

• Addresses findings in external audits in a timely manner

• Collaborates with The Buonopane Group to maintain strategic pricing

• Works under the direction of CDM Manager and Lead Analysts to prepare file for yearly price changes and regulatory coding changes

• Keeps abreast of current regulatory guidance and attends local conferences/seminars to remain current

• Provides support for implementation and testing

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:

• 2+ years of progressive, relevant knowledge in hospital revenue cycle operations
• Intermediate proficiency with Microsoft business applications with intermediate excel skill level required
• 1+ years of experience utilizing technological solutions to improve processes and systems

Preferred Qualifications:

• 2+ years of experience in hospital chargemaster methodology and maintenance

• 2+ years of experience following regulatory guidance, working with government and commercial payer regulations related to hospital revenue cycle

Soft Skills: 

• Provides excellent customer service

• Intermediate interpersonal and communication skills, both written and verbal

• Ability to manage multiple projects and affective prioritization

• Ability to complete time sensitive projects and work both independently and collaboratively

• Ability to handle difficult and stressful situations with professional composure

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $27.07 to $53.08 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records

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. 

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