Senior Business Process Analyst - Remote

Optum; Tucson (AZ); Remote; USD 71,000 - 141,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Business Process Analyst to oversee regulatory compliance and accreditation standards. This remote role offers the flexibility to work from anywhere in the U.S. and involves collaboration with teams to improve health outcomes. Ideal candidates will have experience in prior authorizations, strong organizational skills, and proficiency in document writing. The position includes a competitive salary range and comprehensive benefits.

Benefits

Comprehensive benefits package

Incentive programs

Stock purchase options

401k contributions

Qualifications

• 1+ years of experience with prior authorizations within a PBM.
• Proficiency in writing and editing complex documents.
• Experience in team leadership or project management.

Responsibilities

• Oversee implementation of regulatory requirements and accreditation standards.
• Assess, research, and respond to compliance inquiries.
• Create and maintain policies and procedures.

Skills

Organizational skills

Self-motivation

Problem resolution

Effective verbal communication

Presentation skills

Tools

MS Office

OneNote

Visio

SharePoint

Access

MS Project

Job description

Senior Business Process Analyst - Remote

Join to apply for the Senior Business Process Analyst - Remote role at Optum.

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.

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

Primary Responsibilities

• Oversee the implementation of regulatory requirements and accreditation standards, utilizing workflow management platforms to organize, analyze, and track information, and collaborating with teams to clarify and communicate changes to stakeholders.
• Assess, research, and respond to compliance inquiries accurately and within deadlines, developing remediation plans for issues identified.
• Serve as a subject matter expert (SME) during inquiries and audits, familiarizing yourself with regulatory requirements, OptumRx policies, and maintaining tools to ensure alignment.
• Create and maintain policies and procedures, analyzing content for accuracy and making necessary edits.
• Support Optum Licensing with accurate and timely responses.
• Assist with audit activities by prioritizing requests and providing necessary information promptly.

You will be rewarded and recognized for your performance in an environment that challenges you, provides clear success criteria, and offers development opportunities for other roles.

Required Qualifications

• 1+ years of experience with prior authorizations within a PBM, including using relevant management systems and claims platforms.
• Proficiency in writing and editing complex documents such as research papers, white papers, or training materials.
• Strong organizational skills, self-motivation, and the ability to manage multiple tasks and deadlines.
• Experience in team leadership, project management, or problem resolution.
• Experience with audit, regulatory, or legal work.
• Basic proficiency in MS Office programs (Word, Excel, PowerPoint).
• Effective verbal, presentation, and facilitation skills, including presenting to large groups or senior leaders.

Preferred Qualifications

• Experience with organizational tools such as OneNote, Visio, SharePoint, Access, or MS Project.

The salary range for this role is $71,600 to $140,600 annually, depending on factors like location, experience, and certifications. Benefits include comprehensive packages, incentive programs, stock purchase options, and 401k contributions. We are committed to equitable care and diversity.

Application Deadline: Posted for at least 2 business days or until enough candidates are collected. The posting may close early due to volume.

At UnitedHealth Group, our mission is to help people live healthier lives and improve the health system for everyone. We are committed to diversity, equity, and environmental responsibility.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Management and Manufacturing
• Industries: Hospitals and Healthcare