Care Management Business Analyst – Remote

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The CM Business Analyst serves as a strategic connector between the Clinical Operations team and Care Management units. This role is responsible for translating care coordination needs into valid business processes and clinical system configurations, ensuring operational alignment and data integrity across platforms such as Essette. The BA also leads quality review efforts focused on documentation standards, workflow accuracy, and process compliance for care coordination programs.

Serves as a resource for other departments, providing operational information that will enhance and/or maintain their current structure within the system. Takes lead in creating training materials utilized while conducting end‑user training, internally and externally for community partners throughout the state for care management. Leads and supports the care management department in achieving accurate and timely measurements. Utilize leadership and technical skills to provide direction for the care management Essette projects.

Facilitates the development of Essette for company‑based initiatives. This position will support continued support for program development and compliance for CM. You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

• Partner with care management teams to understand program goals, workflows, and system needs
• Translate clinical and operational requirements into system configurations and business processes
• Collaborate with SDoH managers and community care teams to ensure data flows (e.g., housing, food, SHIE) are accurately captured and integrated
• Design and implement workflows for care coordination campaigns, including front‑end interfaces
• Lead quality audits of care coordination documentation and workflows to ensure compliance with internal standards and external regulations
• Assist in development of dashboards and reporting tools to monitor performance metrics
• Facilitate feedback loops with care teams to continuously improve documentation practices and workflow efficiency
• Participate in clinical strategy sessions, estimation calls, and redesign meetings to align care coordination efforts with broader organizational goals
• Act as a liaison between clinical teams, IT, and business operations to ensure seamless integration of care coordination tools and processes
• Works collaboratively with CM management, IT, and other departments using the Essette system in accordance with the Mission and Values of the company to perform the assigned duties
• Responsible for analyzing and improving business processes within the Care Management Department. Act as point for system development and process design for existing and new programs
• Serve as a direct point of contact for developing Essette care management centered processes with internal teams and external partners. Ensure clear project definition, design, communication, implementation, monitoring and support. Work with stakeholders to establish areas for integration
• Schedule, track and provide oversight for care management system development projects. Including timing of development and implementation for Essette projects
• Maintain working knowledge of all CM systems. Be a Subject Matter Expert in all areas of CM system to continually evaluate workflow and process to facilitate the most efficient and streamlined processes
• Utilize individual thought and department expertise to organize and validate data to manage the development of reports, e.g., production reports, regulatory reports, utilization reports, compliance reports for internal and external audits, and…