Business Process Analyst, Performance and Regulatory Oversight - PBM Operations - Remote

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.

The Business Process Analyst (BPA), Performance and Regulatory Oversight, will be responsible for end-to-end business process activities - creating, reviewing, controlling, and improving business processes. The BPA may assist with or oversee design, facilitation, training and evaluation of quality improvement projects and teams. This position is also responsible for quality reporting, analysis, and audits supporting continuous quality improvement.  The BPA may also assist with project management of complex, cross-functional reporting projects and support/ownership of data products.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Operate, support, evaluate and improve end-to-end business processes
• Identify risks related to reporting delivery or regulatory matters, and work to implement mitigation and solutions
• Collaborate with and lead cross-functional teams to develop and implement solutions using the principles of process excellence and related tools that drive quality improvement
• Review reporting, conduct analysis and audits to support continuous quality improvement across various products and programs using applicable tools
• Support any corrective action plans through the implementation and monitoring of appropriate solutions, in collaboration with applicable business partners, and ensure deliverables are timely
• Assist with or lead project management of complex cross-functional reporting projects, including clearing obstacles for development teams and managing risks to ensure deliverables and client performance guarantees are met
• Assist with support and/or ownership of data products including issue detection dashboards and processes/tools designed to collect, automate, store, and report on regulatory data
• Develop subject matter expertise and provide ongoing support/consulting/guidance to team and business partners relative to several critical reporting obligations to CMS
• Understand and support government programs regulatory reporting services provided to clients through their account management teams
• Participate in end-to-end reporting processes including gathering detailed requirements, managing the development of data solutions, performing analysis, interpreting results, developing actionable insights

Functional Competencies:

• Demonstrates understanding of basic process management and total quality management principles and methodologies
• Develops, demonstrates, and continuously improve understanding of upstream and downstream impacts to partners of business operations and solutions
• Develops/manages relationships with internal and external stakeholders to maintain ongoing influence on reporting and regulatory matters
• Performs critical and objective review of information and processes
• Determines if business processes are consistent/compliant with applicable regulatory requirements and takes appropriate action as needed

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 an analyst and/or operations related role
• 2+ years of experience with documenting processes and practices
• Intermediate proficiency with MS Applications including Project (or other project management solution), Word, Excel, PowerPoint, SharePoint
• Proven solid research and analytic skills Research experience with the ability to draw conclusions from the data and summarize findings
• Proven solid written communication skills experience communicating professionally via email regarding technical documentation, etc.

Preferred Qualifications:

• Experience in government programs
• Experience managing project deliverable
• Experience in supporting product
• Experience with prescription benefit data/RxClaim
• Experience using Copilot
• Basic understanding of CMS regulations

*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 to $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.