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in Irvine, CA

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

About this job

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 working on Medicare Part D, 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)Primary Responsibilities:


Gather and document business requirements

Analyze and interpret formulary data

Communicate analysis and interpretation to appropriate audience

Produce, publish and distribute scheduled and ad-hoc client and operational reports

Create and update templates, and build automation tools to enhance accuracy and automation of tasks

Prepare monthly and annual formulary submission files for multiple formularies

Zynchros entries and publishing

Prepare tickets for BOM coding

File management, formatting and analyses are required in preparation of formulary files and formulary updates

Manage inquiries

Ad hoc analyses

Requirements

Required Qualifications:


Bachelor's degree in Business, Finance, Health Administration, related field or equivalent work experience

Advanced technical proficiency to build templates, tools, automation / validation processes and to do extensive Excel data / file manipulation

Advanced Microsoft Excel and data management skills

Experience working with large datasets and the ability to identify process logic with numerous exceptions

Attention to detail and accuracy are extremely important to ensure CMS compliance

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

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

Ability to problem solve including multiple priorities and multiple tasks
 
Preferred Qualifications:


RxCLAIM experience

Access, SQL and other data management application experience

Medicare Part D, healthcare industry, or pharmacy technician experience
 
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.
 
 
Job Keywords: Excel, analysis, RXclaims, Pharmacy, Pharmacy Technician, analyst, Irvine, CA, California