Optum is a global healthcare organization using technology to improve health outcomes. Within the Payment Integrity Compass team, this role focuses on analyzing healthcare insurance contracts to ensure accurate claim reimbursement, improve revenue integrity, and support hospital financial performance.
Role Overview
The Health Care Insurance Contract Analyst will be responsible for analyzing, interpreting, modeling, and loading healthcare insurance contracts into the Payment Integrity Compass system. The role involves validating payer reimbursements, supporting clients, and ensuring accurate contract implementation.
Key Responsibilities
- Analyze and load healthcare insurance contract data into internal systems
- Validate payer reimbursements using patient accounting data and contract terms
- Research reimbursement methodologies, contract language, and payment formulas
- Provide client support via phone, email, and chat
- Maintain high client satisfaction through effective communication
- Support training on contract configuration and system usage (post-implementation)
- Update and maintain existing client contracts
- Ensure compliance with company policies and operational guidelines
Required Qualifications
- Bachelor’s degree
- 1+ year of client-facing or project management experience
- Strong communication and stakeholder management skills
- Ability to explain contract terms in relation to system configuration
Preferred Qualifications
- Experience in US healthcare industry
- Experience managing project milestones independently
- Strong client relationship management skills
- Advanced Excel skills (pivot tables, VLOOKUPs, formulas)
- Basic understanding of programming or logic-based systems
- Ability to build and interpret algorithmic logic
Notes:The salary has not been officially disclosed by the recruiter. The figures mentioned are estimates based on similar roles and current market standards.
Application Link: https://careers.unitedhealthgroup.com/job/noida/associate-business-systems-analyst/34088/94045569504
