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Associate Business Process Analyst - Horsham, PA

UnitedHealth Group

Horsham, PA
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Job Details

750201 Associate Business Process Analyst Horsham PA

Associate Business Process Analyst - Horsham, PA (750201)

Position Description

In this role, you will focus on UnitedHealthcare Medicare & Retirement Pharmacy Services Management.  If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)
Primary Responsibilities:
  • Responsible for end-to-end business process activities - creating, controlling and improving business processes around pharmacy benefits, eligibility, and the coordination of benefits
  • Ensure eligibility and other health information is loaded accurately and timely end-to-end to ensure accurate point of sale and/or retrospective handling of pharmacy claims
  • Ensure all errors are resolved timely and source system problems are escalated and supported through resolution
  • Diagnose process improvement opportunities through research and analysis of data
  • Advocate for new ideas and process improvements to close gaps, reduce manual efforts, and enhance the member experience
  • Document processes to reduce operational ambiguity and manage change
  • Collaborate within the organization to implement changes required due to process, product and/or annual changes
  • Review business requirements for system enhancements or changes; create and execute test scenarios in a timely manner
  • Focus on improving the member experience and increasing the quality/effectiveness of the Pharmacy Benefit Operations team
  • a basic, structured, standard approach to work

Required Qualifications:

  • Bachelor’s degree or High School Diploma/GED with 3+ years equivalent work experience

  • 1+ years of experience with data analysis and reconciliation in a healthcare business

  • 1+ years of experience documenting processes and writing business requirements

  • Intermediate or higher level of proficiency with Microsoft Excel and/or Access


Preferred Qualifications:

  • Proven history for successfully prioritizing multiple tasks, priorities, projects, and deadlines

  • Experience in pharmacy operations, PBM or health care operations

  • Experience related to benefits, eligibility or COB (coordination of benefits)

  • Knowledge of Medicare Part D requirements

  • Intermediate or higher level of proficiency with SharePoint, Microsoft Office, Project, Word, PowerPoint, and Visio



Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)



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.


Keywords: Process, Business Analyst, Horsham, PA, Pennsylvania, process improvement, requirements, PBM, pharmacy, Medicare Part D, COB, health care

Job Details

  • Contest Number750201
  • Job TitleAssociate Business Process Analyst - Horsham, PA
  • Job FamilyBusiness Operations
  • Business SegmentMedicare and Retirement

Job Location Information

  • Horsham, PA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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