Commercial Formulary Operations Associate Business Analyst - Telecommute

POSTED ON 1/13/2021 AVAILABLE BEFORE 7/12/2021
UnitedHealth Group Hired Organization Address Schaumburg, IL Remote Full Time

Job Posting for Commercial Formulary Operations Associate Business Analyst - Telecommute at UnitedHealth Group

We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)

As an Associate Business Analyst, you will work on an elite team participating in all aspects of commercial formulary maintenance and related formulary operation activities. This position requires excellent clinical experience (knowledge of medications and drug database management) and analytical skills, attention to detail, and the ability to communicate and work collaboratively with other departments.


Our ideal candidate will be based at either our Schaumburg IL or Irvine CA offices, though we may consider stellar candidates as remote / work at home employees regardless of location. 

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

Primary Responsibilities:
  • Responsible for formulary builds and maintenance covering all Commercial, Medicaid and Exchange lines of business
  • Daily interactions with Clinical,  Account Management, and Benefit Operations teams
  • May be responsible for commercial formulary program creation & maintenance in the formulary application
  • Support short and long term operational and strategic business activities - by developing, enhancing and maintaining operational information as well as supporting development and maintenance of the Formulary Management applications
  • Review and analyze formulary data to determine the appropriate process for building and maintaining formularies in the Formulary Management applications
  • Oversee formulary change process and perform formulary reporting and analysis functions
  • Work collaboratively with others to track and maintain formulary information for specific clients
  • Ensuring a comprehensive quality review of formulary data to maintain accuracy and service level agreements

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.

Required Qualifications:
  • 1+ year(s) of experience in data analysis collecting, analyzing, and presenting data and recommendations to management
  • 1+year(s) of experience in process improvement, workflow, benchmarking and / or evaluation of business processes
  • Intermediate level of proficiency in MS Excel (writing formulas, sorting, filtering)
  • Excellent communication, writing skills, time/project management, problem solving, organizational and analytical skills required
  • Ability to work independently in a fast-paced, challenging position
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:
  • 1+ years of Pharmacy Benefits Manager (PBM) experience
  • Pharmacy Technician background
  • Formulary Operations and / or Submissions experience
  • Experience navigating and using RxClaim platform / AS400 knowledge and experience
  • RX Builder experience
  • Experience using MS Access 1+ year(s) of experience working with relational databases or querying tools

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

The hourly range for Colorado residents is $20.77 to $36.88. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*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, analyst, analysis, PBM, Rx, claims, RxClaims, pharmacy, process, PDL, formulary, technician, commercial, Medicaid, Irvine, CA, California, Schaumburg, IL, Illinois, Telecommute, Telecommuter, Telecommuting, Work from home, Work at home, Remote

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