• Gather and document business requirements and translate them into functional EPM solution designs. • Configure Oracle EPM Cloud (e.g., Planning, EPBCS) components including forms, calculations, dashboards, and data mappings. • Support data integration activities such as data load setup, validations, and troubleshooting. • Assist in developing and executing test plans, resolving defects, and ensuring solution quality. • Participate in deployment, user training, and ongoing enhancement efforts.

This position is Remote in Massachusetts. You will have the flexibility to work remotely* as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Senior Recovery Resolution Analyst will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. This position will utilize information from claims data analysis, plan members, the medical community, law enforcement, employee conduct, and confidential investigations in order to document relevant findings. The Sr. Recovery Resolution Analyst will conduct site visits and desk audits of provider claims, and medical and administrative records, to gather and analyze all necessary information to determine whether subject adhered to state and federal compliance policies, reimbursement policies, and contract compliance. The Sr. Recovery Resolution Analyst will present and discuss audit findings with client and input information into Optum audit workflow tools and the client’s case tracking system. Where applicable, the Auditor will support appeal and fraud investigation activities. This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of Monday thru Friday 8:00 am – 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime. We offer on the job training. The hours during training will be aligned with your schedule. Primary Responsibilities: - Review medical and administrative records for audit/compliance review - Travel to provider sites up to 25%25/month to collect records and engage with providers - Present and participate in discussions with the client regarding audit observations and findings - Collaborate with a team of 2-5 auditors to complete reviews - Enter audit findings data and notes in online/electronic platform using Excel-based templates - Attend and participate in dispute reviews and administrative hearings - Demonstrated written and verbal communications skills - Demonstrated customer service skills 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: - Nurse licensure (RN or LPN) with a current, active, and unrestricted license in Massachusetts - Must have a Valid Driver’s license - 2+ years of experience reviewing health care documentation in a clinical or administrative role - Experience with MS Office Suite, specifically Word, PowerPoint, and Excel (including familiarity with basic formulas and data analysis) - Must be willing to travel up to 25%25 within the state of Massachusetts as business needs dictate - Ability to work full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of Monday thru Friday 8:00 am – 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime Preferred Qualifications: - Clinical or administrative experience in long term care, for example, nursing facility care delivery/administration and/or community-based LTC service programs like Home Health - Experience in claim processing, healthcare provider information, and healthcare billing practices - Experience working in a remote/telecommute workspace - Familiarity with Medicaid program and/or billing requirements - Working knowledge of medical terminology and claim coding with familiarity of CPT-4, HCPCs and ICD-10 code terminology Telecommuting Requirements: - Must reside in the state of Massachusetts - 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 will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 - $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The University of Miami Health System (“UHealth”) IT Department has an exciting opportunity for a full-time Epic Sr. Analyst. The Epic Sr. Analyst initiates the implementation, builds, and modifies complex applications, and collaborates with key stakeholders, end-users, and application team members to optimize the application’s configuration, function, and access. The incumbent supports junior staff members in day-to-day operations and resolving application issues. Core Responsibilities: - Collaborates with key stakeholders, end-users, and application team members to optimize the application’s configuration, function, and access. - Serves as a primary support contact for application end‐users. - Initiates the design, development, implementation, and maintenance of the application. - Initiates all phases of testing and the documentation of workflow design. - Performs the analysis of information technology in clinical work processes and validates the impacts to the workflow. - Initiates the identification of issues and guides the work to resolve them. - Supports junior staff members in the evaluation and resolution of service tickets, identification and implementation of application changes, retrieval of requested data, and execution of day-to-day operations. - Collaborates with trainers on application changes and new features to develop documentation and training strategies. - Works with stakeholders, the business community, and end users to ensure the application meets UHealth's business/clinical needs. - Participates in on-call rotations and support and attend and participates in, applicable committees. - Maintains regular communication with team members, including participating in weekly project team meetings. - Reviews the status of projects and issues on an ongoing basis with leadership. - Remains knowledgeable about UHealth’s policies, procedures, and business operations. - Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions: The Epic Sr. Analyst, will focus on the infectious control module within EPIC works to ensure the information systems in the UHealth organization are working efficiently and effectively, including but not limited to EpicCare Ambulatory Core EMR (EpicCare Ambulatory, Care EveryWhere , MyChart, Workbench and several interface bundles), EpicCare Inpatient, Willow, ASAP, Beacon, Radiant, OpTime and Kaleidoscope. She/he provides necessary experience, knowledge, and technical support to ensure all aspects of applications and systems development, build and implementation. The candidate will analyze, define and apply technical knowledge to solve complex problems regarding business application systems with specific emphasis on infection control. The Epic Sr. Analyst will work closely with team members, staff and other personnel to gain and understanding of objectives and requirements for the assigned clinical system and will be responsible for trouble shooting problems and challenges within the clinical information systems which may include software problems, hardware issues or even networking difficulties. - Provides direction for the IT and analytical requirements for infection control reporting - Works closely with Infection Control Leadership to ensure EPIC tools are aligned with operational and quality requirements - Create end user documentation to include training materials and report writing/creation within the systems managed. - Lead, configure, build, produce and maintain NHSN Reporting, SSI Serveillance, Infection Control Specialized Reporting, Discrete Microbiology Data Quality, and analytics.Provides support to the providers, clinical managers, clinical staff and end users. - Participate in operational workflow validation including requirements, specifications, and gaining end user acceptance. - Responsible for leading software upgrades and testing from an application perspective to include test plan creation and validation. - Coordinate software updates and changes, review and test each new release, report application system testing results. - Perform periodic checks to ensure that data is entered and retrieved correctly and that all regulations regarding confidentiality and security are being followed. - Understand change impacts and resistance and formulate strategies with key stakeholders to address impacts and build commitment. - Provides support for designated application systems. Augments and facilitates the design, development, implementation of enhancements to existing business systems. - Facilitates database conversions and performs system analysis. - Train customers on applications/reports/solutions as required. - Leading junior team members’ work efforts in the design, development, testing, implementation, and ongoing support of the application - Maintaining the scope, schedule, and quality of application projects - Serving as the primary support contact in all matters related to the application - Providing oversight and leadership to Associate Epic Analysts, Epic Analysts, and Senior Epic Analysts on the team - Manage SLA breaches by meeting with customers. - Ability to maintain appropriate and professional communication with business owners and end users. - Assists user management in setting priorities within that functional area. - Adhere to UHealth IT standards. - Performs other related duties as assigned. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. MINIMUM QUALIFICATIONS: - Bachelor’s degree in relevant field - Epic Bugsy/ICON Certification - 3-6 years of experience with clinical application development and support of users in a healthcare environment required. - Laboratory background is preferred - Experience with EPIC clinical system upgrades, implementations, and support required. - Ability to work evenings, nights, and weekends as necessary. - Proficiency in computer software (i.e. Microsoft Office). - Ability to recognize, analyze, and solve a variety of problems. - Ability to communicate effectively in both oral and written form. - Ability to lead, motivate, develop and train others. Any appropriate combination of relevant education, experience and/or certifications may be considered. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Why Ryan? - Hybrid Work Options - Award-Winning Culture - Generous Personal Time Off (PTO) Benefits - 14-Weeks of 100% Paid Leave for New Parents (Adoption Included) - Monthly Gym Membership Reimbursement OR Gym Equipment Reimbursement - Benefits Eligibility Effective Day One - 401K with Employer Match - Tuition Reimbursement After One Year of Service - Fertility Assistance Program - Four-Week Company-Paid Sabbatical Eligibility After Five Years of Service The Senior Analyst, U.S. Operations works with a team to support daily operations and execute strategic initiatives and goals established by the President of U.S. Operations. While we prefer candidates based in the Dallas/Plano area, this role is open to applicants across the U.S. as it is primarily remote. Duties and responsibilities, as they align to Ryan’s Key Results People: - Works with colleagues throughout the Firm to obtain required data and information. Client: - Communicates relevant project information to the team and key stakeholders. - Organizes and prioritizes multiple tasks to ensure internal clients’ needs are met in a timely manner. Value: - Proposes and implements processes to improve productivity and financial results. - Drafts communications, presentations and other deliverables. - Develops, deploys, maintains, and/or assesses best practices and policies. - Extracts data from internal systems for analysis and interpretation. - Handles and safeguards confidential information and sensitive material. - Participates on committees, special projects, and performs other duties as assigned. - Resolves daily issues that arise. Education and Experience: Bachelor’s degree or equivalent, and four to six years related experience required. Computer Skills: To perform this job successfully, an individual must have intermediate skills in Microsoft® Word, Access, Excel, Outlook, PowerPoint, and Internet navigation and research. Essential Skills Required: - Effective written and verbal communication skills - Attention to detail - Demonstrates accuracy and thoroughness - Sense of urgency - Demonstrates willingness to be flexible and adaptable to changing priorities - Ability to work effectively both independently and in a team-based environment - Strong multitasking and organizational skills. Certificates and Licenses: Valid driver’s license required. Supervisory Responsibilities: This position has no supervisory responsibilities. Work Environment: - Standard indoor working environment. - Occasional long periods of sitting while working on computer and reviewing workpapers. - Position requires regular interaction with employees at all levels of the Firm and interface with external clients and vendors as necessary. - Independent travel requirement: 25%. Equal Opportunity Employer: disability/veteran