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Optum Business Analyst Jobs (NOW HIRING)

Stefanini Group

Business Systems Analyst

Grand Rapids, MI · On-site

$65 - $70/hr

We are seeking a seasoned Business Analyst with expertise in Optum Claims Editing System (CES) with integration experience with Facets and Epic Tapestry. This individual will be responsible for ...

Stefanini

Business Systems Analyst

Grand Rapids, MI · On-site

We are seeking a seasoned Business Analyst with expertise in Optum Claims Editing System (CES) with integration experience with Facets and Epic Tapestry. This individual will be responsible for ...

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How much do optum business analyst jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for optum business analyst in the United States is $47.43, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $59.38 per hour, depending on experience, location, and employer.

What does an Optum Business Analyst do?

An Optum Business Analyst is responsible for analyzing business processes, identifying opportunities for improvement, and supporting healthcare operations within Optum, a health services and innovation company. They work with stakeholders to gather requirements, interpret data, and develop solutions that improve efficiency and quality. Their role often involves project management, data analysis, documentation, and providing insights to help guide business decisions. They play a key part in ensuring that business objectives are met through technology and process enhancements. Overall, they help bridge the gap between IT and business teams to drive organizational success.

What skills and qualifications are needed to be an Optum Business Analyst?

To thrive as an Optum Business Analyst, you need strong analytical skills, a background in business or healthcare administration, and experience with data interpretation and process improvement. Familiarity with SQL, Excel, data visualization tools (like Tableau or Power BI), and healthcare management systems is highly valued, along with relevant certifications such as CBAP or Lean Six Sigma. Excellent communication, problem-solving, and stakeholder management skills help you effectively translate business needs into actionable solutions. These competencies are crucial for driving data-driven decision-making and optimizing operational performance within Optum's complex healthcare environment.

How does an Optum Business Analyst collaborate with cross-functional teams?

As an Optum Business Analyst, you will frequently work with diverse teams including software developers, data scientists, project managers, and clinical experts. Your role involves gathering and translating business requirements, facilitating meetings to ensure alignment, and bridging the gap between technical and non-technical stakeholders. Effective communication and problem-solving skills are essential, as you’ll help ensure that healthcare solutions meet both client needs and regulatory standards. Regular collaboration and feedback loops are common, fostering a team-oriented environment where your input directly impacts project outcomes.

What is the difference between Optum Business Analyst vs Optum Data Analyst?

AspectOptum Business AnalystOptum Data Analyst
Required CredentialsBachelor's in Business, Healthcare, or related field; often certifications in business analysisBachelor's in Data Science, Statistics, or related; certifications in data analysis or SQL
Work EnvironmentCollaborates with business teams to improve processes within healthcare settingsFocuses on data collection, cleaning, and analysis within healthcare data systems
Employer & Industry UsageUsed across healthcare providers, insurance companies, and health tech firmsCommon in healthcare analytics departments, health insurance, and data-driven healthcare companies

Optum Business Analysts primarily focus on analyzing business processes and requirements to improve healthcare services, while Optum Data Analysts concentrate on managing and interpreting healthcare data. Both roles require relevant certifications and work within healthcare organizations, but their core responsibilities differ in scope and focus.

Is Optum Business Analyst a high paying job?

Optum Business Analysts typically earn competitive salaries that are above average for entry- to mid-level business analyst roles, especially in healthcare and insurance sectors. Compensation can vary based on experience, location, and certifications such as CBAP or PMI-PBA, but generally, the role offers a solid salary with opportunities for bonuses and benefits. Overall, it is considered a well-paying position within the healthcare consulting industry.
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Optum Business Analyst jobs near you
Infographic showing various Optum Business Analyst job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $98,662 per year, or $47.4 per hour.

Business Analyst, Optum CES

Co-Sourcing Partners

Chicago, IL • On-site, Remote

Contractor

Re-posted 14 days ago

Job description

Business Analyst, Optum CES
Location: Remote
Employment Type: 1 month contract with possibility of extension
We are seeking a seasoned Business Analyst with deep expertise in Optum Claims Editing System (CES) and integration experience with Epic Tapestry. This individual will be responsible for driving CES configuration, edit implementation, and system alignment with Epic denial codes and benefit configurations. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows and ensure alignment with payer strategies.
Key Responsibilities:
  • Collaborate with stakeholders including business leaders, claims operations, IT teams, and vendors to guide the end-to-end implementation of Optum CES.
  • Analyze and document business requirements related to claims editing rules, benefit configuration, and adjudication logic.
  • Design and validate system edits (e.g., age edits, duplicate logic, modifier rules) to ensure compliance with regulatory and payer-specific policies.
  • Map and reconcile EDI transactions (837/835) with Epic Tapestry records to ensure accurate CES integration.
  • Partner with configuration analysts to ensure benefit structures and payment policies align with claims editing logic.
  • Lead and support functional testing, UAT, and defect resolution for CES edits and Epic denial workflows.
  • Monitor project timelines, milestones, risks, and cross-functional dependencies to ensure on-time delivery.
  • Identify and recommend process improvements to reduce manual intervention and enhance claims accuracy and provider experience.

Required Skills & Experience:
  • Minimum 5 years of experience as a Business Analyst in healthcare IT, with hands-on implementation of Optum CES.
  • Stong understanding of PPS reimbursement within the claims processing cycle.
  • Experience with Epic Tapestry strongly preferred.
  • Proficiency in claims editing systems, claims adjudication logic, and healthcare EDI standards (837/835).
  • Demonstrated ability to lead cross-functional initiatives involving technical and business teams.
  • Strong written and verbal communication skills, with the ability to translate complex technical details into business-friendly language.
  • Exceptional organizational skills and a track record of managing high-impact healthcare IT projects.

CoSourcing Partners is an equal opportunity employer committed to fostering an inclusive and diverse workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other protected status under applicable federal, state, or local laws.
We believe in creating a work environment where all employees feel valued, respected, and empowered to contribute to our success. Accommodations are available upon request for applicants with disabilities throughout the hiring process.
Join us and be part of a team that values diversity, equity, and inclusion.

Apply