Business Analyst - National Remote

Davita Inc.; Schaumburg (IL); Remote; Full time

Job summary

A leading healthcare organization seeks a Business Analyst for Part D Formulary Operations. This role involves data analysis, report validation, and managing product information to support healthcare teams in compliance with CMS regulations. The successful candidate will enhance health outcomes while working flexibly, remotely from anywhere in the U.S.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 2+ years of experience in a PBM and healthcare.
• 2+ years of experience with data analysis.
• Familiarity with Medicare Part D.

Responsibilities

• Perform data analysis, file management, and report validation.
• Ensure accurate product setup and perform daily validation of formulary data.
• Prepare formulary files and communicate analysis to peers.

Skills

Data analysis

Problem-solving

Communication

Education

High School Diploma / GED

Tools

Microsoft Excel

Job description

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is for Part D Formulary Operations, Business Analyst position. The position is needed for adding and validating product information in formulary applications to support downstream teams and customers that reference this information. The position also performs daily validation and quality analysis against formulary data to insure accurate product setup and correct adjudication for Part D members. The accuracy of this information is critical as it must comply with CMS rules and regulations.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Data analysis, file management and report validation required
• Produce, publish and distribute scheduled and adhoc reports while meeting deadlines
• Ability to problem solve and research inaccurate data
• Prepare formulary files for RxWeb and look up tools
• Prepare Prior Auth and Step files for RxWeb
• Review completed reports used for formulary validation
• Communicate analysis to peers and leaders
• Provide support to internal and/or external customers on issue mitigation
• Perform other duties as necessary to meet department objectives supporting clients and/or COE objectives

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:

• High School Diploma / GED
• 2+ years of experience in a PBM and healthcare
• 2+ years of experience with Microsoft Excel utilizing v-lookups and Formulas
• 2+ years of experience with data analysis, identifying anomalies and discrepancies
• 1+ years of experience with Medicare Part D and Part D Guidance

Preferred Qualifications:

• RxCLAIM/AS400 experience
• Knowledge of Medispan data system including GPI drug classification system and First Data Bank
• Familiarity with prescription benefit, formulary, and clinical program design

Soft Skills:

• Collaborative yet able to work independently
• Meticulous and high level of attention to detail
• Solid written and verbal communication skills
• Ability to ask questions, be curious and research solutions
• Excellent interpersonal and problem-solving skills
• Solid customer service orientation and commitment to professionalism
• Flexibility in a changing environment

*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 hourly pay for this role will range from $28.27 to $50.48 per hour 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.

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.

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