Senior Business Analyst

Optum is a global organisation 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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As a Fortune 5 business, we’re one of the world’s leading healthcare companies. There are no limits here to the resources you’ll have or the challenges you’ll encounter. We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for talent to join our expanding teams to make the healthcare system works better for everyone.

As a Senior Business Analyst you will be responsible for ensuring the operational excellence of our EDPS Submission product through managing Risk Adjustment Data from Clients to the Centers for Medicare and Medicaid (CMS). This is accomplished through coordinated analysis, review, and collaboration with teams within our organization, in addition to external parties with an interest in our product. You will help clients navigate the complexities of data submissions, resolve issues, and meet regulatory requirements. Your goal is to drive submission accuracy and timeliness—targeting over data 99% acceptance rate. The successful candidate will serve as the liaison and key contact between the business operations team and the stakeholders we support – notably operational leadership, Tech Engineering, and our clients (both commercial and internal). This role is critical in our ability to provide our clients with operational excellence as a part of the Risk & Quality Clinical Solutions Team.

Working Schedule:

Full-time position with standard working hours of Monday – Friday, 9am – 5pm.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny office and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:

- Analyze disparate data sources and identify opportunities for enhancements or business processes to be performed

- Lead project plan and organize improvements to client data and our operational processes

- Provide insightful analysis to solve business problems encountered

- Become a Subject Matter Expert resource for operational staff as it pertains to 837 submissions and the EDPS database structure and design

- Ensure we meet and exceed established KPIs as they pertain to EPDS Submissions

- Assist clients in navigating complex issues and data analysis involving, at times, several teams within Optum

- Take a lead role in the development of new controls and analysis into shortcomings of existing controls

- Perform root cause analysis to identify any issues in current operational data processing

- Evaluate gaps in EDPS submissions for potential enhancements to clients’ submission accuracy and associated HCC capture rates

- Develop and maintain processes and meetings related to the evaluation and remediation of data in error

- Assist on special projects as requested

Additional Responsibilities:

- Analyze, review, forecast, and trend complex data

- Present analysis and interpretation for operational and business review and planning

- Support short and long term operational/strategic business activities through analysis

- Develop recommended business solutions through research and analysis of data and business process and implement when appropriate

- Develop and implement effective operational business solutions through research and analysis of data and business processes

- Work with less structured, more complex issues and serve as a resource to others

You will be rewarded and recognised 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 providing development for other roles you may be interested in.

Required Qualifications:

- Bachelor's degree (or higher) in business, Finance, Health Administration, related field Or Equivalent experience

- Proven experience in business/finance/data analysis, reporting or forecasting

- Ability to communicate complex data analysis including trends and improvement opportunities to business partners both in writing and verbally

- Experience with process improvement, project management, workflow, benchmarking and / or evaluation of business processes

- Intermediate level of proficiency with PC-based software programs required (e.g. Excel, PowerPoint etc.)

- Working knowledge of SQL/relational databases or Healthcare Claim processing/health care related data

- Experience in gathering, analyzing, and reporting on data

Preferred Qualifications:

- 837 claim format experience

- Working knowledge of Python, Unix systems and commands

- Experience in an Agile work environment

- Technical Skills

Soft Skills:

- Interpersonal skills, ability to work and present effectively with all levels of leadership, as well as business partners in other UHG entities

- Advanced verbal, written communication and presentation skills

- Ability to perform well under pressure and multitask with little to no direction
- Ability to solve problems including juggling multiple priorities and perform research on conflicting and/or inaccurate data

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

All telecommuters will be required to adhere to the UnitedHealth Group's Telecommuter Policy.

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 marginalised 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: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2025 Optum Services (Ireland) Limited. All rights reserved.

#RPO #BBMEMEA