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Job Details

UnitedHealth Group

Business Analyst Consultant - Telecommute (107205491)

Business Development




Eden Prairie, Minnesota, United States

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Business Analyst Consultant will be responsible for conducting and managing the Medicare Member Impact Reporting and Remediation (MIRR) process. This activity includes developing reporting models, reviewing member and business impact reports, and presenting information for operational assessment and planning. This role will support operational and strategic business activities by developing, enhancing, and maintaining effective business solutions through analysis of data and business processes. The Business Analyst Consultant will work in close partnership with UnitedHealthcare Government Programs in issue resolution and remediation as it relates to Pharmacy Benefits Management. This position will report to the Director of Operations for Service Delivery & Execution for OptumRx as an individual contributor.

This position may require extended hours and or weekend coverage during the Medicare Part D peak season (January 1 - February 28) timeframe. Position may also require extended hours outside of peak season to support event driven issues on a case-by-case basis.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Conduct and manage the Medicare Member Impact Reporting and Remediation (MIRR) process
  • Organize and prioritize multiple MIRR projects under tight deliverable timeframes with superior quality results
  • Present results of analysis to leaders across both ORx and UnitedHealthcare
  • Identify opportunities for process improvement to increase the timeliness and accuracy of initiatives, and/or increase resource efficiency
  • Foster positive working relationships with key business functions within OptumRx and within UHC Government Programs

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:

  • Bachelor’s degree or equivalent BA work experience
  • 3+ years of experience in Pharmacy Benefit Management
  • 2+ years of experience with issue resolution
  • Highly organized with excellent communication, time/project management, critical thinking, problem solving, organizational, and analytical skills
  • Intermediate level of proficiency with MS office tools (Word, Excel, and Outlook required, Access desired, PowerPoint desired)

Preferred Qualifications:

  • Understanding of RxCLAIM and/or pharmacy claim processing
  • Working knowledge of the Prior Authorization process
  • Knowledge of Medicare Part D Transition policy

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut/Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.