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Sr Business Analyst - Remote

Company: UnitedHealth Group
Location: Irvine
Posted on: April 9, 2021

Job Description:

OptumRx, a UnitedHealth Group company, with over 24,000 employees globally, specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our goal is to deliver high-quality, integrated services to promote optimal outcomes, superior savings and outstanding client and consumer experiences. We make healthier happen by creating smarter health care connections to help more than 65 million consumers nationwide realize improved care, lower costs and a better overall experience. Leveraging expertise, flexible technology and a network of over 67,000 community pharmacies, and the use of our own state-of-the-art specialty and home delivery pharmacies and fulfillment centers, we are driving value to those we serve through our transforming capabilities. This is a place like no other and where you'll do your life's best work.SMAs a Sr. Business Analyst, you will work on a wide range of activities related to department including strategic planning, analysis, project management, implementations and development of action plans. Works with clients and internal work teams to ensure successful implementation and project work. Works on development and writing of business processes and development of processes and productivity initiatives. Develops business requirements for Eligibility within assigned projects and follows them through to production. Develops and analyzes reports and a variety of ad hoc reports to support key departmental and corporate initiatives. Troubleshoots and works with clients and/or IT to resolve issues and/or interpret perceived issues.Essential Job Functions

  • Conducts research and analyzes/interprets information on issues, proposals and problems to ensure that appropriate and complete information is provided for decision-making and informational purposes.
  • Investigates non-standard requests and problems.
  • Assists in the development of organizational objectives and short and long-range goals.
  • Uses and researches data and facts to identify and solve a range of problems.
  • Creates Visio diagrams and complex excel spreadsheets.
  • Reads and interprets complex reports.
  • Attends meetings to determine how proposed projects will affect team for both project duration and when project goes to production.
  • Assesses resources needed for projects including own time commitment. Presents to leadership timelines, assets, time commitments.
  • Writes business policies, communications, correspondences, procedures and other required documentation.
  • Develops department materials for new projects, implementations.
  • Develops department (ORx Elig) requirements for assigned projects.
  • Develop team metrics to display quality. Ensure metrics are rolled out and maintained.
  • Performs moderately complex business analysis.
  • Reviews and interprets data, then develops recommendations.
  • Participates in meetings, takes minutes and provides advice and follow-up correspondence.
  • Interprets data flow from intake files to system requirements.
  • Interprets and explains data flow and document files to client for their understanding of processes and successful implementations.
  • Work with client and peers to understand and interpret vernacular, acronyms and internal jargon to ensure assumptions are not made or continued.
  • Develops and maintains strong cross functional relationships.
  • Writes test cases related to group and eligibility data feeds and processes. Populates test cases from subjective information. Assists testers understand and interpret testing language.
  • Works with PMs to interpret defects. Works with IT to resolve defects. Must have enough understanding of project to work with partners and resolve defects.
  • Work with clients and peers to interpret and solve issues with minimum supervision.
  • Facilitate meetings, set-up, agenda, and assign take away assignments, follow-up.
  • Understanding, interpreting business requirements and system functionalities.Required Qualifications:
  • Minimum of five years of progressive responsibility with process improvement initiatives
  • Experience with user acceptance testing (UAT) and regression testing; interpreting, running test cases and defect resolution
  • Available to work 40 hours per week within the operating hours of the site with the ability to work occasional overtime including weekends, nights and holidays (New Year's Day specifically) as business needs
  • Experience understanding department load, needs of clients and balancing them (pushing back when needed).
  • Demonstrated ability to apply quality measures/measurements in day to day work.
  • Demonstrated ability to complete defect resolution within project scope
  • Ability to interact one-on-one and consult with all levels of management.
  • Intermediate level of proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook.
  • Excellent communication, writing skills, time/project management, problem solving, organizational and analytical skills
  • Ability to work independently with rapid learning curve
  • Demonstrated skills/experience; process improvement, workflow, benchmarking and / or evaluation of business processes
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications:
    • Bachelor's degree in Healthcare Administration, Business Administration or a related field
    • Experience with process mapping methodology and creating process maps
    • Project Management experience preferred.
    • AS400 experience preferred.
    • RxClaim working knowledge given preference.
    • JSON file experience given preference.
    • Agile lifecycle.
    • Working knowledge of relational databases, databases structures.UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.You can learn more about all we are doing to fight COVID-19 and support impacted communities at: click here . *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.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: Business Analyst, project management, user acceptance testing, UAT, OptumRX, Optum. UHG, remote, telecommute, work from home, work at home, WFH, WAH, hiring immediately, #RPO

Keywords: UnitedHealth Group, Irvine , Sr Business Analyst - Remote, Professions , Irvine, California

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