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Business Analyst - National Remote

UnitedHealth Group

Schaumburg, IL
Full Time
Mid Level
28/hr-50/hr
5 days ago

Job Description

About the Role

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, supporting adding and validating product information in formulary applications, performing data validation and quality analysis to ensure accurate product setup and compliance with CMS rules.

Key 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

Requirements

  • 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

Nice to Have

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

Qualifications

  • Experience with Medicare Part D and Part D Guidance
  • Experience with data analysis and reporting tools
  • Proficiency in Microsoft Excel

Benefits & Perks

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Hourly pay range from $28.27 to $50.48 based on full-time employment
  • All benefits are subject to eligibility requirements

Working at UnitedHealth Group

Optum emphasizes diversity and inclusion, professional growth, and making a positive impact on communities. The company is committed to equitable care, mitigating environmental impact, and fostering a supportive, collaborative work environment.

Apply Now

Job Details

Posted AtJun 17, 2025
Salary28/hr-50/hr
Job TypeFull Time
Work ModeRemote
ExperienceMid Level

About UnitedHealth Group

Website

unitedhealthgroup.com

Company Size

10000+ employees

Location

Schaumburg, IL

Industry

Direct Life, Health, and Medical Insurance Carriers

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