Supports performance management and quality improvement for the Medicare Prescription Payment Plan. Responsibilities include maintaining data collection and control documentation, coordinating measurement activities, preparing performance reports, documenting procedures, supporting audits, identifying process and data gaps, and leading root-cause remediation and continuous improvement across business processes.
Requisition Number: 2401897
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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
The Medicare Prescription Payment Plan (M3P) program is a new Medicare benefit program, assisting seniors with paying for prescriptions. The program helps Medicare beneficiaries manage out-of-pocket prescription costs over time.
As a Senior Business Process Analyst, you will be part of a highly accountable team. Strategically, we build objective measurement plans, create impactful result report outs and create an environment of continuous improvement. The ideal candidate is able to recognize problems and opportunities through a high level of curiosity, apply a repeatable approach to solutioning and deliver consistent value.
Day-to-day, you will actively contribute to the strategic roadmap for the Quality team to ensure business functions have visibility to regulatory outcomes and process audit results, lead related root cause and remediation activities related to identified issues and coordinate long-term improvement opportunities across the end-to-end business process. Ideal candidates have prior experience documenting business processes, interpreting contractual language and performance guarantees - specifically with an understanding how to identify risk, objectively measure process and technical data evaluation. Experience designing, developing, or coordinating meaningful performance dashboards is an important skill you can bring to the position.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Performance management support:
Program-Level documentation 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.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
Preferred Qualifications:
*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 $72,800 to $130,000 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
The Medicare Prescription Payment Plan (M3P) program is a new Medicare benefit program, assisting seniors with paying for prescriptions. The program helps Medicare beneficiaries manage out-of-pocket prescription costs over time.
As a Senior Business Process Analyst, you will be part of a highly accountable team. Strategically, we build objective measurement plans, create impactful result report outs and create an environment of continuous improvement. The ideal candidate is able to recognize problems and opportunities through a high level of curiosity, apply a repeatable approach to solutioning and deliver consistent value.
Day-to-day, you will actively contribute to the strategic roadmap for the Quality team to ensure business functions have visibility to regulatory outcomes and process audit results, lead related root cause and remediation activities related to identified issues and coordinate long-term improvement opportunities across the end-to-end business process. Ideal candidates have prior experience documenting business processes, interpreting contractual language and performance guarantees - specifically with an understanding how to identify risk, objectively measure process and technical data evaluation. Experience designing, developing, or coordinating meaningful performance dashboards is an important skill you can bring to the position.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Performance management support:
- Support development and maintenance of baseline data collection processes
- Review and maintain process/data control documentation
- Facilitate regular data collection and measurement activities across internal program teams
- Contribute to the preparation of report outs with key internal business functions
- Help tell the story of process and data effectiveness with projects where data is used to depict performance outcomes
- Support quality recommendations and improvements across all impacted applications and products
- Collaborate with internal teams to prepare for and execute internal process and external program audits
- Use and promote internally-developed best practices, following the guidelines and best practices set by program leadership
Program-Level documentation support:
- Coordinate with program teams to observe, document and maintain accurate work procedures
- Support publication review processes
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.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
- 5+ years of health insurance experience
- 3+ years of direct operational experience, identifying process and/or data gaps
- 3+ years of direct involvement analyzing and improving business processes
Preferred Qualifications:
- Prior Training and experience using Six Sigma, LEAN or other process improvement methodology
- Intermediate use of Microsoft Office Applications, including Power BI
- Experience incorporating AI tools (Microsoft Copilot, Claude, ChatGPT, Gemini) into day-to-day work while maintaining appropriate quality, validation, and compliance standards.
*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 $72,800 to $130,000 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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