Business Process Consultant Licensing

Optum; Dallas (TX); Remote; USD 92,000 - 164,000; Full time

Job summary

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The role focuses on CHOO-centered Licensing, translating regulatory requirements into repeatable workflows, controls, and job aids.

This is a full-time, Monday–Friday role with 8:00 am–5:00 pm shifts and on-the-job training. You will lead cross-functional design sessions, document requirements, and continuously improve procedures in response to regulatory changes.

Qualifications

• 5+ years in business process analysis, business analysis, process improvement, operations, or requirements management.
• 3+ years designing or improving end-to-end processes.
• 3+ years gathering and documenting requirements, controls, workflows, and business rules.
• Experience facilitating cross-functional design sessions and structured problem solving.

Responsibilities

• Lead current-state and future-state analysis for CHOO and approved broader Licensing processes.
• Gather, analyze, validate, and document business requirements across stakeholders.
• Translate approved business and regulatory requirements into workflows, procedures, controls, decision points, roles, handoffs, and business rules.
• Identify process gaps, rework, handoff failures, control weaknesses, and standardization opportunities.
• Facilitate process-design sessions and resolve requirement or workflow gaps with the appropriate owners.
• Define business requirements for workflow, reporting, system, or automation solutions and support testing and adoption.
• Maintain governed CHOO process documentation and ensure approved changes are incorporated into job aids, procedures, templates, requirements grids, business rules, and workflow controls.
• Govern and continuously improve CHOO procedures and operating controls based on approved regulatory changes, Ops Gap Requests, execution feedback, deficiency trends, and lessons learned.
• Partner with Delivery on implementation readiness and with Paralegals to ensure designed processes are practical and executable.

Skills

Business analysis

Process improvement

Requirements management

Cross-functional facilitation

Education

High School Diploma / GED

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.

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

The Business Process Consultant, Licensing provides process and requirements leadership for the CHOO-centered Licensing capability. The role translates approved business and regulatory requirements into repeatable workflows, controls, procedures, business rules, job aids, requirements grids, templates, and solution requirements. The role owns how the work is designed and governed, not the regulatory interpretation or day-to-day delivery orchestration.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00 pm.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities

• Lead current-state and future-state analysis for CHOO and approved broader Licensing processes.
• Gather, analyze, validate, and document business requirements across stakeholders.
• Translate approved business and regulatory requirements into workflows, procedures, controls, decision points, roles, handoffs, and business rules.
• Identify process gaps, rework, handoff failures, control weaknesses, and standardization opportunities.
• Facilitate process-design sessions and resolve requirement or workflow gaps with the appropriate owners.
• Define business requirements for workflow, reporting, system, or automation solutions and support testing and adoption.
• Maintain governed CHOO process documentation and ensure approved changes are incorporated into job aids, procedures, templates, requirements grids, business rules, and workflow controls.
• Govern and continuously improve CHOO procedures and operating controls based on approved regulatory changes, Ops Gap Requests, execution feedback, deficiency trends, and lessons learned.
• Partner with Delivery on implementation readiness and with Paralegals to ensure designed processes are practical and executable.

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
• Must be 18 years of age OR older
• 5+ years in business process analysis, business analysis, process improvement, operations, or requirements management
• 3+ years designing or improving end-to-end processes
• 3+ years gathering and documenting requirements, controls, workflows, and business rules
• Experience facilitating cross-functional design sessions and structured problem solving
• Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00 pm

Preferred Qualifications

• Experience in regulated healthcare, insurance, financial services, government programs, or compliance
• Experience translating process needs into workflow, reporting, or automation solutions

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• 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 salary for this role will range from $91,700- $163,700 annually 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment