Principal Business Data Consultant - Remote

UnitedHealth Group•Schaumburg, IL

9h•$112,700 - $193,200•Remote

About The Position

The Principal Business Data Consultant – RxMax Support serves as the primary technical and business-facing expert for the RxMax application and its data ecosystem. The role partners with business stakeholders, operations teams, vendors, and technology teams to investigate complex business scenarios, analyze claim rebate and reimbursement processes, troubleshoot production issues, and deliver data-driven recommendations. This is not a traditional development role: the position does not have access to the application codebase and is not responsible for software development. The consultant uses advanced SQL and analytical skills, along with knowledge of RxMax, healthcare claims processing, business rules, data flows, and reporting structures, to trace claim processing, validate calculations, identify root causes, and recommend practical solutions. The role also supports audits and compliance reviews, documents processes and data lineage, and guides team members in data investigation methods. The position is remote within the U.S. However, hires in the Minneapolis or Washington, D.C. area must work in the office at least four days per week. Remote employees must follow UnitedHealth Group’s Telecommuter Policy. The role is full-time, with an annual salary range of $112,700–$193,200, based on full-time employment. Employment is contingent on passing a drug test.

Requirements

At least 5 years of experience working in production data environments while maintaining data accuracy, governance, and security standards.
At least 5 years of advanced proficiency in SQL and languages such as Python, Scala, or Java.
At least 5 years of experience with cloud data platforms such as AWS, Azure, or Snowflake and big data processing frameworks such as Spark or Databricks.
Experience working with or supporting financial systems and financial data architectures.
Experience in the healthcare industry and familiarity with healthcare data models and standards such as HL7, FHIR, and HIPAA compliance.
Demonstrated experience working with business teams from an operational standpoint.
Demonstrated experience using digital and productivity-enhancing tools to streamline engineering workflows and problem-solving.
Ability to work remotely in accordance with UnitedHealth Group’s Telecommuter Policy, if working remotely.
Must pass a drug test before beginning employment.

Nice To Haves

Experience with pharmacy benefits management (PBM), healthcare claims, reimbursement, or pharmacy data.
Knowledge of claim adjudication, financial reconciliation, and contract pricing methodologies.
Experience with Azure, data lakes, data warehouses, and enterprise analytics platforms.
Familiarity with healthcare data standards and regulatory requirements.
Experience collaborating with cross-functional teams in complex healthcare environments.
Knowledge of reporting and business intelligence tools.

Responsibilities

Serve as a subject matter expert for the RxMax application, claims processing workflows, and supporting data structures.
Partner with business stakeholders to understand operational challenges and translate them into actionable data analysis and solution recommendations.
Investigate end-to-end claim processing and payment workflows to identify root causes of issues, discrepancies, and unexpected outcomes.
Analyze claims, billing, payments, and disbursement financial data to understand calculation methodologies and validate business results.
Trace data across multiple systems and processing stages to determine how claims are transformed, adjudicated, and reported.
Perform in-depth data analysis using SQL and other analytical tools to research issues and answer business questions.
Document business processes, data flows, calculation logic, decision points, and operational impacts.
Provide production support by researching incidents, resolving data-related issues, and recommending corrective actions.
Collaborate with development, product, business, and vendor teams to communicate findings and facilitate issue resolution.
Identify opportunities to improve data quality, operational processes, business controls, and support procedures.
Develop and maintain detailed knowledge of claim lifecycle events, data lineage, system integrations, and reporting dependencies.
Support audits, compliance reviews, and executive inquiries with accurate data analysis and traceability.
Create documentation, root cause analyses, process maps, and business impact assessments.
Mentor team members and provide guidance on data investigation methodologies and best practices.