AI Business Process Analyst

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
We are seeking a strategic and execu

tion-focused Business Analyst to lead the process analysis across PBM Growth and operations. This role will be instrumental in driving modernization, data consistency, and operational efficiency across our product and client ecosystems.

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

Primary Responsibilities:

Product Process

• Lead/Define and evolve the PSOT framework to capture product/service/fee elections across the client lifecycle
• Partner with Growth and Implementation teams to ensure seamless integration with Salesforce CPQ, SFGO, PIM and broader PBM Operational processes
• Drive integration and utilization of a comprehensive product catalog and client-specific fee schedules

Client Process Enablement

• Lead initiatives to process reengineer for efficiency client data into a unified Client SOT platform (e.g., RxClient360)
• Collaborate with cross-functional teams to streamline onboarding, maintenance, and client relationship management workflows

End-to-End Process Analysis

• Map and analyze current-state workflows across product and client operations
• Identify inefficiencies, manual processes, and data fragmentation points
• Recommend and implement tooling and automation strategies to improve operational throughput and reduce risk
• Collaborate cross-functionally with operations, analytics, IT, and delivery teams to translate complex business needs into actionable process driven enhancements
• Gather, analyze, and document business requirements for new features, enhancements, and workflow changes, ensuring they are aligned with enterprise strategy and operational needs

Strategic Planning & Execution

• Develop business cases and business roadmaps for process improvements. Around PSOT and Client SOT modernization
• Aligning with enterprise goals such as AI enablement, rebate model transformation, and IOI growth
• Track and report on KPIs including client satisfaction, operational efficiency, and revenue impact

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:

• 2+ years of experience in PBM, healthcare technology, or enterprise product management
• Proven experience in data strategy, workflow orchestration, and cross-functional program leadership
• Familiarity with Salesforce CPQ, Product lifecycle management, Client lifecycle management
• Solid analytical, communication, and stakeholder management skills

Preferred Qualifications:

• 5+ years of experience in PBM, healthcare technology, or enterprise product management
• Process design experience 
• Client facing experience 
• Experience using SQl or Tableau
• Experience with AI/ML-driven product insights and upsell enablement
• Understanding of regulatory compliance and data governance in healthcare
• Ability to lead matrixed teams and influence across architecture, operations, and client services

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

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