Business Analyst Consultant - Telecommute

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

Tough challenges? We know a thing or two about those. When you're on a mission to help people live healthier lives, the stakes couldn't be higher. As a Business Analyst Consultant, you will help rewrite the future of the health care system. You'll analyze data and deliver bold, business-savvy ideas to impact the lives of millions. Along with ground-breaking challenge, you'll have the support and resources of a Fortune 5 company. Join us.

You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:

• Ability to review Business Requirements Document to ensure it is complete / as requested and that all use cases have been identified
• Ability to review User Test Results (review output provided to confirm it shows use case is tested and shows expected results)
• Microsoft Access - ability to write queries and review code (queries / logic embedded in forms)
• Ability to analyze complex requests / requirements, understand the data and the logic needed to update various departmental databases
• Basic understanding of RxClaim - how to review information in RxClaim and look at extracted data records (RxClaim 8.0 formatted records are sent/received to exchange data with the OptumRx CMS Enrollment Vendor)
• Ability to troubleshoot system issues (look at data sent / updates received from CMS / those updates applied in the Convey system and how/when they were sent to Rx Claim)
• Basic understanding of SharePoint - updating and accessing files stored there
• Work closely with others in the Medicare Enrollment department, and with the Implementation, Eligibility and Account Management departments as a client is implemented, and after go-live to answer questions about data and reporting and to identify custom data/reporting needs
• Collaborate with other key departments including Eligibility, Account Management, Medicare Operations, etc. as needed and address questions as needed from internal teams or from clients
• Identify any data inconsistences or abnormalities for root cause analysis, and if there are systemic issues warranting changes or they are one-off occurrences
• Identify opportunities for incremental databases to aid in the operations of CMS enrollment processes and/or improved reporting and monitoring
• Create and maintain documentation of all databases, user acceptance testing processes, etc. to ensure all data is accurate and maintained
• Strong organization skills, detail oriented, with careful attention to work processes and overall quality assurance
• Collaboration within and outside of the department to ensure work is completed timely and accurately and follows up as applicable
• Highly analytical, proactive, and thinks outside the box to help identify the most appropriate course of action
• Ability to clearly communicate complex concepts and results both verbally and in writing
• Ability to work effectively in a full-time remote and fast paced environment

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 higher) or equivalent work experience with 4+ years of experience in a PBM or EGWP Operations role
• 4+ years business/data analytics experience: working with data, analyzing, and understanding data
• 4+ years of experience working with data analysis tools for reporting/understanding of relational data bases and their principles of operation
• 2+ years of experience with Medicare Part D, and CMS files
• 2+ years of experience interacting directly with clients (health plans, employer groups, TPAs, etc.)
• Experience working in both an IT capacity as well as PBM operations including government programs and potentially "C" level management
• Intermediate/advanced skills using Microsoft Excel and Microsoft Access and the ability to query large data sets using SQL
• Competent with PCs and Microsoft Office/Windows Office applications

Preferred Qualifications:

• Familiarity with and experience navigating the CMS MARx system
• Knowledge of Employer Group Waiver Plans
• Knowledge of CMS Part D Compliance requirements and terminology
• Ability to communicate cross-functionally regarding various projects to various departments as well as externally with clients regarding custom reporting, data integrity issues, custom functionality, etc.
• Solid organization skills, detail oriented, with careful attention to work processes and overall quality assurance
• Collaboration within and outside of the department to ensure work is completed timely and accurately and follows up as applicable.
• Highly analytical, proactive, and thinks outside the box to help identify the most appropriate course of action
• Ability to clearly communicate complex concepts and results both verbally and in writing
• Ability to work effectively in a full-time remote and fast paced environment

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

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 Residents Only: The salary range for Colorado residents is $79,700 to $142,600. 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.

Job Keywords: Business Analyst Consultant, Business Analysis, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote