Required Education
• High School Diploma or equivalent.
Required Experience
• Previous experience reviewing and analyzing data.
• Experience working with data requiring a high degree of accuracy and attention to detail.
• Experience providing process and operational support.
• Experience using Microsoft Excel for data input and analysis.
• Experience using Microsoft Word, Outlook, and PowerPoint.
Required Skills
• Strong data analysis and problem-solving skills.
• Ability to review information, identify discrepancies, and determine the appropriate resolution.
• Strong attention to detail and accuracy when working with sensitive member data.
• Ability to reconcile and compare information across member records.
• Proficiency with Microsoft Excel, including inputting and analyzing data.
• Proficiency with Microsoft Word for creating and editing documents.
• Proficiency with Microsoft Outlook for managing email.
• Proficiency with Microsoft PowerPoint for creating and editing presentations.
• Ability to identify patterns and trends within data.
• Ability to work effectively as part of a team.
Preferred Skills
• Previous healthcare or health insurance experience.
• Experience with Master Data Management (MDM) or member data management.
• Experience with member identity, eligibility, or demographic data.
• Experience with data quality, data remediation, or data stewardship.
• Experience performing quality reporting, analysis, or audits.
• Experience supporting continuous quality improvement.
• Familiarity with PHI/PII and healthcare data privacy requirements.
Job Duties
• Review close matches within the iMDM Inspector work queue and resolve them as necessary.
• Perform data analysis.
• Complete member record reconciliation.
• Provide process and operational support to the iMDM Operations Support team.
• Remediate member identity and eligibility matching data.
• Review member demographic information to support accurate identity matching.
• Identify trends that may support algorithmic tuning and further reduce remediation task volume.
• Support quality reporting, analysis, and audits.
• Assist with developing plans and programs supporting continuous quality improvement.
• Help maintain accurate enterprise Person IDs across Optum, UnitedHealthcare, and commercial constituents.
• Support ongoing data stewardship activities.
• Help mitigate the risk of PHI/PII violations involving member demographic data.
• Work collaboratively as part of the operations support team.
Typical Day
The specialist will primarily work through the iMDM Inspector queue reviewing member records that have been identified as potential close matches. They will compare member identity, demographic, and eligibility information, determine whether records appropriately match, and resolve discrepancies when necessary.
In addition to queue remediation, the individual will perform data analysis and member-record reconciliation, document findings, provide operational support, and identify recurring patterns in the data. Those patterns may be used to recommend adjustments to the matching process or algorithm that could reduce future remediation volume. Depending on workload, the specialist may also assist with quality reporting, audits, and continuous improvement activities.
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
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