Business Analyst - Irvine, CA - Full-time / Part-time

Here, your performance, your ideas, your unique analysis will combine with a rich assortment of contributors to understand and shape the health care system. At UnitedHealth Group, you'll work with a team that has the creativity and passion to help build new health care solutions that meet emerging market needs. You'll get the opportunity to work with an elite team that goes beyond the usual analysis, they dig deeper knowing our goal is nothing short of transforming health care. Does the challenge of utilizing your analytical abilities on vital projects towards a larger strategic mission excite you? As a Business Analyst, you'll have the opportunity to provide data analysis to support, compile and report key information for operations and business objectives. This is a position that affords you the ability to drive processes and improvement initiatives. By gathering and documenting business requirements and utilizing your sharp analytical skills to fulfill the needs of the business and/or clients, you will have an impact on healing the health care system. Some people would call you a data geek, but at UnitedHealth Group that passion turned into information is used for decisions made by leadership. This is a challenging role that creates an opportunity to grow and develop while doing your life's best work.(sm)
 
The Business Analyst will support and validate IRB Master Rebate Database information through summarizing pharmaceutical rebate contracts and amendments, validating contract terms and conditions, and referencing various documents and reports. The IRB Project Management Specialist will serve as a liaison with E&I and C&S underwriters, Formulary Consulting Group, Rebate Management, and all other operational teams that oversee rebate accrual in nature. The position will also support custom formulary requests and the monthly oversight of rebate rate validations with a specific focus on Core formulary.
Primary Responsibilities:


Gather and document business requirements

Analyze and interpret data to identify trends, patterns and opportunities for the business and clients

Communicate analysis and interpretation to appropriate audience

Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products, processes and technologies

Summarize and provide rebate contracts / amendments information

Validate contract terms and conditions

Ensure accuracy of Master Rebate Database updates

Serve as a SME to comprehend and effectively explain rebate changes to the stakeholders

Serve as a key resource on complex and/or critical issues of rebate conditions

Gather information (i.e. Formulary, Prior Authorization, Step Therapy, Tier, Market Basket, etc.) and facilitate all needed requirements to validate applicable rebate rates

Stay aware of formulary strategies and manage and maintain Core formulary grid as well as custom formularies as needed

Analyze and interpret benefit designs

Provide ongoing support to ensure proper implementation and adoption are applied to Master Rebate Database

Anticipate stakeholder needs and proactively develop solutions to meet them

Define desired future requirements based on input from all applicable stakeholders

May lead projects

Required Qualifications:


Undergraduate degree or equivalent work experience

2+ years of experience in the pharmacy benefit management (PBM) or health care industry

Ability to translate complex legal terms in a simple concise manner

Ability to convey information cross functionally to all levels of staff

Proficient in the use of MS Office Suites (Excel)

1+ years of experience in business and or finance including analysis experience with a solid understanding of data storage structures

Experience gathering requirements from the client / business and documenting

Experience in analysis of business process and workflow and providing an evaluation, benchmark and/or process improvement recommendations

Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally

Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data

Preferred Qualifications:


SQL experience

VBA experience

Pharm tech experience

Excellent interpersonal, problem solving, and analytical skills

Self-starter, self - motivated, and self-disciplined

Ability to work well with many remote team members

1+ years experience in brand drugs, formularies, benefit designs, and utilization control

Working knowledge of relational databases and database structures
 
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 you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re 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)
 
 
 
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.