9 days old

Formulary Operations Benefit Analyst - Telecommute - 943646

Schaumburg, IL 60193 Work Remotely
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  • Job Code
    943646

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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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As a Formulary OperationsBenefitAnalyst, you will work on an elite team participating in all aspects of commercial formulary maintenance and related formulary operation activities. This position requires excellent clinical experience (knowledge of medications and drug database management) and analytical skills, attention to detail, and the ability to communicate and work collaboratively with other departments.

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Our ideal candidate will be based at either our Schaumburg IL or Irvine CA offices, though we may consider stellar candidates as remote / work at home employees regardless of location.

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

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Primary Responsibilities:

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  • Responsible for formulary builds and maintenance covering all Commercial, Medicaid and Exchange lines of business
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  • Daily interactions with Clinical, Account Management, and Benefit Operations teams
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  • May be responsible for commercial formulary program creation & maintenance in the formulary application
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  • Support short and long term operational and strategic business activities - by developing, enhancing and maintaining operational information as well as supporting development and maintenance of the Formulary Management applications
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  • Review and analyze formulary data to determine the appropriate process for building and maintaining formularies in the Formulary Management applications
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  • Oversee formulary change process and perform formulary reporting and analysis functions
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  • Work collaboratively with others to track and maintain formulary information for specific clients
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  • Ensuring a comprehensive quality review of formulary data to maintain accuracy and service level agreements
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Youll 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.

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Required Qualifications:

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  • 1+ year(s) of experience in data analysis collecting, analyzing, and presenting data and recommendations to management
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  • 1+ year(s) of experience in process improvement, workflow, benchmarking and / or evaluation of business processes
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  • Intermediate level of proficiency in MS Excel (writing formulas, sorting, filtering)
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Preferred Qualifications:

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  • 1+ year(s) of Pharmacy Benefits Manager (PBM) experience
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  • 1+ year(s) of experience working with relational databases or querying tools
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  • Formulary Operations and / or Submissions experience
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  • Experience navigating and using RxClaim platform / AS400 knowledge and experience
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  • RX Builder experience
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  • Experience using MS Access
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  • Pharmacy Technician background
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Soft Skills:

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  • Excellent communication, writing skills, time/project management, problem solving, organizational and analytical skills required
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  • Ability to work independently in a fast-paced, challenging position
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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 youll fill far more than prescriptions. As a member of one of our pharmacy teams, youre 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)

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Colorado Residents Only: The salary/hourly range for Colorado residents is $43,200 to $76,700. 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, youll find a far-reaching choice of benefits and incentives

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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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.

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

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"Job Keywords: Formulary Operations Benefit Analyst, Business, Analyst, Analysis, PBM, Rx, Claims, RxClaims, Pharmacy, Process, PDL, Formulary, Technician, Commercial, Medicaid, Medicare, Exchange, Schaumburg, IL, Illinois, Irvine, CA, California, United States, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting

Posted: 2021-07-17 Expires: 2021-08-16

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Formulary Operations Benefit Analyst - Telecommute - 943646

UnitedHealth Group
Schaumburg, IL 60193

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