Senior Claims Business Process Analyst

This position is national remote, offering the flexibility to telecommute from anywhere within the U.S.

About the role

As a Senior Claims Business Process Analyst, you will support end-to-end claims process oversight, analysis, quality assurance, and process improvement initiatives. This role partners closely with business, operational, and technical teams to analyze claims system utilization, conduct capacity planning and reporting, and perform claims-related business and system analysis. You will help improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need.

This is a full-time (40 hours/week) position in your respective time zone, Monday - Friday. Employees must have flexibility to work any 8-hour shift during normal business hours (6:00 am - 6:00 pm) and may be required to work occasional overtime. We offer 4 - 6 weeks of on-the-job training aligned with your schedule.

Responsibilities

• Perform in-depth, end-to-end research, data analysis, and root cause analysis to support claim quality remediation from initial issue identification through resolution.
• Own quality assurance activities related to payment accuracy, claim outcomes, and process improvement initiatives.
• Evaluate claim scenarios across the Facets platform, workflows, and business rules to identify gaps, trends, and downstream impacts.
• Partner with stakeholders to assess system changes, operational process enhancements, and remediation opportunities.
• Maintain claims process documentation, workflows, standards, and tracking tools to support consistency and audit readiness.
• Support capacity planning, reporting, and trend analysis to drive operational awareness and decision-making.
• Use data and claim findings to recommend solutions, improve processes, and support long-term operational effectiveness.

Requirements

• High School Diploma / GED or equivalent work experience.
• Must be 18 years of age or older.
• 2+ years of experience analyzing and solving business or customer issues.
• 2+ years of experience conducting end-to-end audits.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Windows-based applications and ability to learn complex systems and issues.
• Facets experience.
• Ability to work full-time (40 hours/week) in your respective time zone, Monday - Friday, with flexibility to work any 8-hour shift during business hours (6:00 am - 6:00 pm) and occasional overtime as needed.

Preferred Qualifications

• Claim adjustment experience.
• SharePoint experience.

Telecommuting Requirements

• Ability to keep all company-sensitive documents secure (if applicable).
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service.
• All employees working remotely must adhere to UnitedHealth Group's Telecommuter Policy.

Pay

The hourly pay for this role ranges from $24.00 - $43.00 per hour based on full-time employment. Pay is determined by several factors, including local labor markets, education, work experience, and certifications.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).