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Business Process Analyst, Medicare - Telecommute (843893)
This role is the client's
window into the OptumRx PA organization. The Business Process Analyst will stand in the gap' with the AM Teams and client and the PA Organization to educate and assist with information. Individuals need to think critically and
function independently and be able to offer solutions and resolution on the fly
to clients with minimal supervision. Work internally with all PA groups and external to PA partners to ensure new
and existing clients / members are experiencing the best possible outcomes based
on contractual obligations, etc.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Individuals need to think critically and function independently and be able to offer solutions and resolution on the
fly' to clients with minimal supervision
Manage and lead the education of new client and existing client updates by delivering, on time, client implementations and
Prior Authorization projects, ensuring that all required tasks necessary to
implement the client or onboard existing client update is complete
Own the client / AM relationship from the PA
perspective and communicate action items to the business while holding the
account teams responsible accordingly
Work with PA internal and external partners
to ensure new clients are serviced based on contractual obligations, etc. to
ensure proper workflow for Prior Authorization Operations Team, help identify
process improvements etc.
Collaborate with all applicable teams across
the enterprise to service new clients and maintain existing clients excellent
Review all material as it pertains to onboarding new clients / maintaining existing clients to ensure they can be compliant and operationally and technically - sound
Participate in weekly internal and external meetings for all manner of client needs
Available for travel to client for meetings from time to time
Review internal JAs / CPDs throughout the year to ensure no updates to process /
Resolve ServiceNow requests and ServiceNow Tasks / metrics are on track
(maintain zero % overdue)
Assist with Research and Resolution team with questions
Assist with the RFP/RFI process (current and potential clients)
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.
3 years of experience in Prior Authorization or Operations or Account Management
Experience working with Medicare Part D (Chapter 18) and NCQA
Advanced level of proficiency with PC based software programs and automated database management systems (Excel, Access, PowerPoint, Word)
Demonstrated process improvement, workflow, benchmarking and / or evaluation of business processes
Excellent communication, presentation, leadership, time/project management, problem solving, organizational, and analytical skills
At UnitedHealth Group we're rewriting the way health care gets done for millions. Be part of something daring and bold while doing your life's best work.(sm)
UnitedHealth Group is working to create the health care system of tomorrow.
Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Business Process Analyst, Medicare, Telecommute, Telecommuting, Working from Home, BA Prior Authorization
Requisition Number 843893
Job Title Business Process Analyst, Medicare - Telecommute
Job Family Business Operations
Business Segment OptumRx
Job Location Information
Additional Job Detail Information
Employee Status Regular
Job Level Individual Contributor
Shift Day Job
Telecommuter Position Yes
Overtime Status Exempt
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