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Hours Full-time, Part-time
Location Irvine, CA
Irvine, California

About this job


We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)

Primary Responsibilities:


Create, generate, and distribute monthly/quarterly/annual audit recovery and FWA (Fraud Waste and Abuse), required reports based on client(s) requirements to meet performance guarantees

Acts as the lead SME for all assigned client(s) requests for reporting including standard and ad hoc reports

Provides FWA Compliance reporting for assigned client(s)

Responsible for generating various spike reports to monitor on a regular basis potential pharmacies that may require further desktop or onsite audits

Create and maintain new job aides that pertain to reporting and referral process for assigned client(s)

Update any required monthly metrics for client dashboard

Collect and interpret data as requested to support wide ranging analytical requests (markets trends, competitive analysis, evaluate feasibility of new products and services)

Aggregates and analyzes data to business unit planning decisions

Generally work is self - directed and not prescribed

Works with less structured, more complex issues

Serves as a resource to others
 

Requirements

Required Qualifications:


Bachelor’s degree or equivalent experience

4+ years of experience performing research and analysis projects with responsibility for collecting and interpreting the data.

3+ years of experience in operational business planning or healthcare operations.

2+ years of experience translating data analysis into recommendations for business unit leadership.
 
Preferred Qualifications:


2+ years of experience pharmacy claims experience in retail or Pharmacy Benefits Management setting

1+ years of experience leading research projects in an academic or corporate setting

CPhT (Certified Pharmacy Technician)
UnitedHealth Group is working to create the health care system of tomorrow.
 
Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
 
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
 
Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
 
 
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.
 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
 
Job Keywords: research, analyst, projects, academics, Irvine, CA, California, development, fraud waste and abuse, data, data analysis, interpreting data, data analyst
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