Business Process Analyst, Performance and Regulatory Oversight - PBM Operations - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Business Process Analyst will be responsible for end-to-end business process activities, quality reporting, analysis, and audits supporting continuous quality improvement, as well as assisting with project management of complex reporting projects.

Responsibilities:

• Operate, support, evaluate and improve end-to-end business processes
• Identify risks related to reporting delivery or regulatory matters, and work to implement mitigation and solutions
• Collaborate with and lead cross-functional teams to develop and implement solutions using the principles of process excellence and related tools that drive quality improvement
• Review reporting, conduct analysis and audits to support continuous quality improvement across various products and programs using applicable tools
• Support any corrective action plans through the implementation and monitoring of appropriate solutions, in collaboration with applicable business partners, and ensure deliverables are timely
• Assist with or lead project management of complex cross-functional reporting projects, including clearing obstacles for development teams and managing risks to ensure deliverables and client performance guarantees are met
• Assist with support and/or ownership of data products including issue detection dashboards and processes/tools designed to collect, automate, store, and report on regulatory data
• Develop subject matter expertise and provide ongoing support/consulting/guidance to team and business partners relative to several critical reporting obligations to CMS
• Understand and support government programs regulatory reporting services provided to clients through their account management teams
• Participate in end-to-end reporting processes including gathering detailed requirements, managing the development of data solutions, performing analysis, interpreting results, developing actionable insights

Requirements:

• 2+ years of experience in an analyst and/or operations related role
• 2+ years of experience with documenting processes and practices
• Intermediate proficiency with MS Applications including Project (or other project management solution), Word, Excel, PowerPoint, SharePoint
• Proven solid research and analytic skills Research experience with the ability to draw conclusions from the data and summarize findings
• Proven solid written communication skills experience communicating professionally via email regarding technical documentation, etc
• Experience in government programs
• Experience managing project deliverable
• Experience in supporting product
• Experience with prescription benefit data/RxClaim
• Experience using Copilot
• Basic understanding of CMS regulations
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy