Job Description

Welcome to one of the toughest and most fulfilling ways to help people, including you, live healthier lives. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)

The Sr. Business Process Analyst is required to support Quality, Audit, Recovery, and Data Governance. This position is responsible for reviewing, preparing, and presenting reports on production metrics for 75,000 annual audits and 20,000 annual process adherence audits, engaging audit teams and consulting with senior leadership to identify root causes and preventative actions, delivering thorough data analysis to determine risk assessments, and leading business partners in the creation, implementation, and evaluation of automated reporting, analytics, and validation tools through the use of Excel, Access, SQL, Python, Power BI, Tableau.

This position is on a team responsible for process improvements, root cause analysis, preventative action implementation, metrics, automation, training, documentation, process adherence audits, and SOX compliance. The team supports auditors that validate benefit implementations and changes. The position also supports benefit operations in realizing their accuracy rate goals. The goal is to ensure all OptumRx client benefits are set up properly in RxClaim and are in compliance with all applicable job standards and processes. These audit results support $22M in annual implementation accuracy set-up performance guarantees.

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

Primary Responsibilities:

* Lead process design and improvement projects
* Identify process improvement opportunities and propose solutions using principles of process excellence and related tools
* Lead your business partners in the creation, implementation and evaluation of Total Quality Management (TQM) programs
* Create, analyze, and summarize ad - hoc and / or recurring reports
* Research and analyze data sets to identify patterns and trends
* Assess reporting results through data investigation, analysis, trending, and evaluation
* Assume responsibility for data integrity and ongoing quality control of delivered reports
* Determine risk assessments
* Drive the development and deployment of complex business improvement solutions using principles of process excellence
* Support process enhancement initiatives for audit teams

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:

* High School Diploma (or GED)
* 2+ years of experience in writing business and/or system requirements
* 2+ years of experience with documenting processes and practices, while effectively prioritizing multiple tasks, priorities, projects and deadlines
* Intermediate experience in PowerPoint (creating and editing presentations)
* Intermediate experience in Microsoft Excel (Filtering, sorting, pivot tables, complex conditional formulas, nested formulas, V-lookups, etc.)
* Experience in Access, SQL, Python, Power BI, Tableau or another relational database
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications:

* Bachelor's degree in Business, Finance, Health Administration or related field
* Advanced Excel knowledge, including VBA and statistical analysis
* Previous health care industry experience
* Previous team lead or project lead experience
* Quality auditing experience
* Six Sigma experience with problem solving and root cause analytics
* Experience with ServiceNow and/ or RxConstruct

At UnitedHealth Group we're rewriting the way health care gets done for millions. Be part of something daring and bold while doing your life's best work.(sm)

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

*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: healthcare, health care, pharmacy benefit manager, PBM, quality, audit, analysis, root cause, reporting, process improvement, automation, system requirements, Excel, Access, SQL, Python, Power BI, Tableau, Irvine, California, CA, telecommute