Data Analyst Claims Operations

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

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

We are actively seeking to fill a position for a Senior Data Analyst within the System Resolution Team (SRT).

SRT is a dedicated OptumRx team providing technical and business expertise in RxClaim system function resolution activities to support Medicare Part D, Medicaid, HIX, and Medicaid Subrogation CMS / Regulatory Compliance needs through claim remediation and internal quality goals.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends especially during benefit year transition periods (December 25th - January 10th).

This will be on the job training. The hours during training will be 8:00 am - 5:00 pm CST, Monday - Friday.

Primary Responsibilities:

• Research and Impact analysis - requires creating and executing queries using SQL/scripting
• Deliver accurate and timely end to end system defect resolution in RxClaim
• Perform complex independent and collaborative research on root cause determinations and system defect resolution
• Solves complex problems and works with IT to review development solutions
• Perform complex conceptual analyses of system issues
• RxClaim User subject matter expert with primary focus on Medicare part D

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 / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience with data/system analysis and/or design responsibilities
• 2+ years of experience developing and maintaining SQL
• Intermediate proficiency using Microsoft Word and Microsoft Excel (formulas, vlookup, pivot tables)
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends especially during benefit year transition periods (December 25th - January 10th)

Preferred Qualifications:

• RxClaim operational experience
• Batch Claim Remediation experience
• Pharmacy Benefits Management industry experience
• Experience developing system requirements and/or test plans
• Programming experience - iSeries-AS/400, Cobol, and CL
• Medicare Part D, Medicaid, HIX, and Medicaid operational knowledge

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

*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  $72,800 - $130,000 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.