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Business Analyst, Part D Formulary Operations - Irvine, CA

UnitedHealth Group

Irvine, CA
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Job Details

759800 Business Analyst Part D Formulary Operations Irvine CA

Business Analyst, Part D Formulary Operations - Irvine, CA (759800)

Position Description

When you're setting the pace for change, it’s not only challenging, it’s exhilarating. We're building new health care solutions right and left and shaping the system as we go to help millions live healthier lives. That’s why we need a Part D Formulary Operations, Business Analyst who can keep up and dig deep. When you join us, you'll drive processes and improvement initiatives that have an impact on healing the health system. Sound like your kind of challenge? Join a Fortune 6, industry leader and find out how you can be a part of something life changing for millions.


The Part D Formulary Operations, Business Analyst will perform critical business activities for entering and monitoring Formulary and product information on RxWeb in order for customers to access this information.  The position will also perform daily validation and review of FACT (Formulary Automated Comparison Tool) Reports to insure formulary data is accurate, according to plan setup for Part D members.  The accuracy of this information is critical as it must comply with CMS rules and regulations. 


Primary Responsibilities:

  • Data analysis, file management and report validation

  • Produce, publish and distribute scheduled and adhoc reports while meeting deadlines

  • Ability to problem solve and research inaccurate data

  • Create and maintain Access Databases needed for formulary validation

  • Review completed reports used for formulary validation

  • Communicate analysis to peers and leaders


The question is how effective can you be in interpreting and analyzing large amounts of information from multiple sources and use it to tell a meaningful story? The challenge will be to manage outcomes of various studies that include analyzing, reviewing, forecasting, trending and then presenting information for operational and business planning, all while adapting to change quickly.

Required Qualifications:

  • 1+ years of experience researching data and performing analyses

  • Intermediate or greater Microsoft Excel proficiency utilizing v-lookups and Formulas

  • Experience gathering and documenting business requirements

  • Experienced with data analysis; identifying anomalies and discrepancies

  • Ability to manage multiple priorities and meet deadlines


Preferred Qualifications:

  • Bachelor's degree in Business, Finance, Health Administration or related field

  • Advanced proficiency in Microsoft Access working with and creating databases

  • RxCLAIM experience

  • PBM and healthcare background

  • Ability to create test cases


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)


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, Part D, formulary, RxWeb, data analysis, business requirements, RxCLAIM, PBM, healthcare, Irvine, CA, California


Job Details

  • Contest Number759800
  • Job TitleBusiness Analyst, Part D Formulary Operations - Irvine, CA
  • Job FamilyBusiness Operations
  • Business SegmentOptumRx

Job Location Information

  • Irvine, CA
    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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