Manager Business Analytics - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

We're looking for an operator who sees data as a language, has a relentless drive for quality, and is growth minded. The Manager of Business Analytics partners with the Pharmacy Benefits Operations team, Health Plan Pharmacy Director's (PPD), clinical teams, and pharmacy benefit manager (PBM) to interpret and execute pharmacy benefit design changes and implementations. The Manager of Business Analytics will collaborate with internal stakeholders to ensure operational alignment, address pharmacy group challenges, and contribute to measurable improvements in pharmacy experience and service delivery. Your responsibilities will also include supporting the development and management of the pharmacy benefit operations team by identifying gaps in benefit set-up and communication to assist the development staff in prioritizing needs. This role requires a proactive approach to team leadership, a commitment to advancing organizational goals, and a focus on building and maintaining trusting, sustainable relationships with key stakeholders to better serve the health needs of our members and pharmacy adjudication/set-up.

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

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

• Guide and support team members in executing defined health plan initiatives, ensuring day-to-day alignment with operational priorities, performance expectations, and organizational standards
• Assess and interpret state/health plan needs and requirements
• Identify solutions to non-standard requests and problems inclusive of system solutioning in Rx Claims
• Lead discussions involving complex issues while working under minimal guidance, seeking support for the most complex tasks
• Support initiatives to achieve measurable service experience improvements in the benefit setup
• Coordinate extensively with cross-functional internal teams to understand and address group challenges
• Bring the "voice of the partner" to help shape internal initiatives and nurture relationships
• Aid in translation strategy and intent into technical coding documents
• Perform and aid team with routine and moderately complex claim, plan build, and implementation analysis
• Work collaboratively with cross-organizational teams (PPD, PBM, clinical) - build positive relationships, participate in calls and projects, and ensure on-time quality results
• Supporting modernization activities by auditing processes by analyzing and interpreting data to identify differences, discrepancies, and opportunities
• Leverage data and facts to identify and solve a range of problems within area of expertise
• Holding regular office hours to support analysts with questions/clarification
• Other duties as assigned, including project support
  
  

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

• 5+ years of pharmacy, pharmacy benefit, and/or PBM experience supporting Medicaid and/or Medicare LOB's
• 5+ years of experience performing significant data analysis in a healthcare/corporate setting
• 3+ years of experience in a Lead or supervisory role
• 3+ years of experience with documenting processes and practices while effectively prioritizing tasks, priorities, projects, and deadlines
• Proven excellent written and oral communication skills with a demonstrated ability to collaborate and communicate up to and through Director level stakeholders
• Proven ability to guide and support team members in executing defined initiatives, ensuring alignment with operational priorities, performance expectations, and organizational standards
• Proven exceptional communication and presentation skills, with the ability to engage diverse audiences and build trust up to and through Director level stakeholders
• Advanced proficiency with Microsoft Excel (skills to perform INDEX MATCH, CONCADENATE, IF COMBINED formula's, VLOOKUP, SUM, COUNTIF, Pivot Tables, Identifying new formulas, etc.)
• Advanced level of knowledge and experience with RxClaim (AS400) - must be able to translate data, strategy, and intent into coding documents
  
  

Preferred Qualifications

• Certified Pharmacy Technician
• Claims auditing and SME experience and/or controls and performance monitoring experience
• Experience with process automation (Copilot/AI, SAS, SQL, or Excel Macros)
• Understand the end-to-end environment of pharmacy claims processes including point of sale adjudication, accumulation processes, and claim reprocessing
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  
  

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.