18 days old

Senior Business / Data Analyst - Irvine, CA or Telecommute - 909662

Irvine, CA 92606 Work Remotely
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  • Job Code
    909662

OptumRx, a UnitedHealth Group company, with over 24,000 employees globally, specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our goal is to deliver high-quality, integrated services to promote optimal outcomes, superior savings and outstanding client and consumer experiences. We make healthier happen by creating smarter health care connections to help more than 65 million consumers nationwide realize improved care, lower costs and a better overall experience. This is a place like no other and where youll doyour lifes best work.(sm)

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The Sr. Business/Data 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.

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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.

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Youll 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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  • Lead process design and improvement projects
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  • Identify process improvement opportunities and propose solutions using principles of process excellence and related tools
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  • Lead your business partners in the creation, implementation and evaluation of Total Quality Management (TQM) programs
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  • Create, analyze, and summarize ad - hoc and / or recurring reports
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  • Research and analyze data sets to identify patterns and trends
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  • Assess reporting results through data investigation, analysis, trending, and evaluation
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  • Assume responsibility for data integrity and ongoing quality control of delivered reports
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  • Determine risk assessments
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  • Drive the development and deployment of complex business improvement solutions using principles of process excellence
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  • Support process enhancement initiatives for audit teams
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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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  • High School Diploma (or GED)
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  • 2+ years of experience in writing business and/or system requirements
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  • 2+ years of experience with documenting processes and practices, while effectively prioritizing multiple tasks, priorities, projects and deadlines
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  • Intermediate experience in PowerPoint (creating and editing presentations)
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  • Intermediate experience in Microsoft Excel (Filtering, sorting, pivot tables, complex conditional formulas, nested formulas, V-lookups)
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  • Experience in Access, SQL, Python, Power BI and Tableau
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  • 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.
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Preferred Qualifications:

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  • Bachelors degree in Business, Finance, Health Administration or related field
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  • Advanced Excel knowledge, including VBA and statistical analysis
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  • Previous health care industry experience
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  • Previous team lead or project lead experience
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  • Quality auditing experience
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  • Six Sigma experience with problem solving and root cause analytics
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  • Experience with ServiceNow and/ or RxConstruct
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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 range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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

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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, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

Posted: 2021-05-26 Expires: 2021-06-25

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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Senior Business / Data Analyst - Irvine, CA or Telecommute - 909662

UnitedHealth Group
Irvine, CA 92606

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