Note: The job is a remote job and is open to candidates in USA. Optum delivers technology-enabled care and health benefits services that help millions of people live healthier lives. The Business Process Analyst will independently manage accumulator exchange implementation projects, serving as the primary contact for clients and vendors while coordinating requirements, testing, deployment, issue resolution, documentation, and process improvements.
Responsibilities
- Independently manage accumulator implementation projects from requirements gathering through production implementation
- Lead client and vendor discussions to define business requirements and implementation approaches
- Serve as the primary implementation contact for assigned clients and vendor partners
- Coordinate implementation activities across Account Management, Technology, Operations, Vendor Management, Data Governance, and external partners
- Analyze accumulator exchange requirements and determine appropriate implementation solutions
- Lead testing strategy development, scenario validation, defect tracking, and production readiness reviews
- Investigate and resolve complex implementation issues and data discrepancies
- Validate accumulator exchange setups, file layouts, eligibility requirements, and testing results
- Monitor project milestones and proactively identify implementation risks and mitigation strategies
- Develop and maintain implementation documentation, process flows, SOPs, and job aids
- Analyze implementation metrics and recommend process improvements
- Support onboarding and mentoring of new analysts
- Participate in operational improvement initiatives and special projects
- Act as a subject matter expert for accumulator exchange products, processes, and vendor integrations
Skills
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 3+ years of business process, implementation, operations, healthcare, or related experience
- 2+ years of implementation, project coordination, or client-facing experience
- Experience gathering and documenting business requirements
- Intermediate to advanced Microsoft Excel skills
- Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 9:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime
- 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
- Ability to independently drive implementation activities
- Strong customer relationship management skills
- Exceptional attention to detail and follow-through
- Ability to navigate ambiguity and solve complex business problems
- Strong communication and presentation skills
- Experience managing multiple projects and priorities simultaneously
- Strong analytical, problem-solving, and organizational skills
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
- Experience with RxCLAIM and accumulator exchange processes
- Experience with medical and pharmacy accumulator integrations
- Experience with file exchange implementations and data mapping
- SQL experience
- Experience with ServiceNow, SharePoint, and Visio
- Experience leading client and vendor meetings
- Healthcare, PBM, or health plan experience
Benefits
- Flexibility to telecommute from anywhere within the U.S.
- Weeks of paid training
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Career development opportunities
Company Overview
Company H1B Sponsorship