Senior Business Process Analyst - National Remote

UnitedHealth GroupMinnetonka, MN
$72,800 - $130,000Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Requirements

  • 4+ years of experience in analytics, data engineering, or business process optimization in a data-driven environment
  • 4+ years of experience working with large, complex datasets (healthcare or claims data strongly preferred)
  • 2+ years of experience with Power BI (or similar BI tools) for dashboard development and data visualization
  • Advanced level of proficiency in SQL (writing, optimizing, and troubleshooting complex queries on large datasets)
  • Intermediate level of proficiency in Python for data analysis, automation, and workflow development
  • Ability to lead cross-functional initiatives and manage priorities across multiple stakeholders
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

  • Advanced level of proficiency in Python for data analysis, automation, and workflow development
  • Strong understanding of data pipelines, validation, and quality control processes
  • Strong problem-solving skills with the ability to translate business needs into actionable solutions
  • Experience with process automation frameworks and workflow optimization
  • Experience in pharmacy or healthcare claims analytics, including audit or FWA-related work
  • Experience working in regulated environments requiring data governance and compliance
  • Experience supporting or working with AI/ML models (monitoring, validation, or refinement)
  • Experience leading or mentoring onshore/offshore team delivery models
  • Experience supporting Performance Guarantees (PGs) or similar contractual metrics
  • Pharmacy Technician Certification or equivalent healthcare domain expertise

Responsibilities

  • Serve as the primary SME bridging business, audit, and technical teams by guiding offshore resources through development, deployment, validation, and production support. Ensure solutions are scalable, compliant, and aligned to business priorities.
  • Design, develop, and deliver dashboards, reports, and analytical outputs that support audit execution, client requests, and performance tracking across Onsite, Desk, Investigative, and RTA audits
  • Support model performance tracking, quality control (QC), and refinement efforts, including incorporating audit outcomes and feedback into ongoing enhancements
  • Act as an authorized onshore resource to handle sensitive claim-level data, ensuring adherence to federal/state regulations and client-specific restrictions
  • Partner with auditors and leadership to generate insights, track audit outcomes, and ensure delivery against recovery targets and PG commitments
  • Oversee testing, validation, and release of new tools and enhancements; provide first-level support and coordinate with IT as needed
  • Define requirements, prioritize initiatives, and ensure proper implementation across systems, workflows, and automation pipelines
  • Develop and present findings, recommendations, and performance updates to leadership and clients

Benefits

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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