Clinical Analyst: Strong Proficiency in MS Access and Excel is required!

In this exciting and challenging role, the Clinical Analyst will analyze and review data trends and create reports for quality, compliance and medical expense management. The chosen candiate will analyze operational processes to recommend changes where needed to ensure operational effectiveness and efficiency. In addition, the chosen candidate will serve as an analyst and data resource for the clinical and medical expense management teams.

Primary Responsibilities:

Work with the analytics and operations team on various projects requiring both automated and manual investigation such as revenue reconciliation, data integrity initiatives, member share of cost claims processing and encounters submission.

Responsible for collaborating with internal and external report owners to ensure reports are prepared timely, accurately, and completely.

Create and modify quality, clinical, medical expense management, and ad hoc reports using Microsoft Access and Microsoft Excel.

Be a part of the Data Release Governance team in order to review and approve appropriate release of information to external customers.

Required:

• Strong proficiency in Microsoft Excel including the ability to create formulas, to use pivot tables and other built-in functions
• Strong proficiency with Microsoft Access queries including the ability to write and execute select and action queries (i.e. the use of where, sum, count, group by)
• Strong communication skills, written and verbal
• Strong organizational skills
  

Additional qualifications preferred:

• Healthcare experience within a managed care and/or hospital setting
• Knowledge of clinical indicators, measures and terminology

Nice to have:

• Claims processing experience
• Medical coding experience
• Data analysis, cost management and trending experience
  

Evercare is part of AmeriChoice, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Medicaid and Medicare

If you're ready to help make health care work better for more people, YOU can make a historic impact on the future of health care at Evercare. JOIN US!

We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.

This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.

YOU can be a part of this team. YOU can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. APPLY NOW!

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.