Business Process Analyst - CAO Implementation Team

Posted Yesterday
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Dallas, TX, USA
In-Office
29-52 Hourly
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Manage accumulator exchange implementation projects from requirements gathering through production deployment. Lead client and vendor discussions, coordinate cross-functional teams, validate configurations and data exchanges, oversee testing, resolve complex issues, and ensure production readiness. Track milestones and risks, maintain documentation, analyze metrics, improve processes, mentor analysts, and serve as a subject matter expert on accumulator exchange products, processes, and integrations.
Summary Generated by Built In
Requisition Number: 2390124
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
In this role, a candidate would independently manage accumulator exchange implementation projects from requirements gathering through production deployment, serving as the primary point of contact for clients and vendor partners. They would lead discussions to define business requirements, coordinate cross-functional implementation activities, and analyze accumulator exchange needs to develop effective solutions. The candidate would oversee testing strategies, validate system configurations and data exchanges, troubleshoot complex issues, and ensure production readiness. Additionally, they would monitor project progress, identify and mitigate risks, maintain implementation documentation, analyze performance metrics to drive process improvements, support the onboarding and development of team members, and serve as a subject matter expert on accumulator exchange products, processes, and vendor integrations.
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 9:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid training. The hours during training will be 9:00 am - 5:00 pm.
Primary Responsibilities:
  • Independently manage accumulator implementation projects from requirements gathering through production implementation
  • Lead client and vendor discussions to define business requirements and implementation approaches
  • Serve as the primary implementation contact for assigned clients and vendor partners
  • Coordinate implementation activities across Account Management, Technology, Operations, Vendor Management, Data Governance, and external partners
  • Analyze accumulator exchange requirements and determine appropriate implementation solutions
  • Lead testing strategy development, scenario validation, defect tracking, and production readiness reviews
  • Investigate and resolve complex implementation issues and data discrepancies
  • Validate accumulator exchange setups, file layouts, eligibility requirements, and testing results
  • Monitor project milestones and proactively identify implementation risks and mitigation strategies
  • Develop and maintain implementation documentation, process flows, SOPs, and job aids
  • Analyze implementation metrics and recommend process improvements
  • Support onboarding and mentoring of new analysts
  • Participate in operational improvement initiatives and special projects
  • Act as a subject matter expert for accumulator exchange products, processes, and vendor integrations

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.
Required Qualifications:
  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 3+ years of business process, implementation, operations, healthcare, or related experience
  • 2+ years of implementation, project coordination, or client-facing experience
  • Experience gathering and documenting business requirements
  • Intermediate to advanced Microsoft Excel skills
  • Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 9:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:
  • Experience with RxCLAIM and accumulator exchange processes
  • Experience with medical and pharmacy accumulator integrations
  • Experience with file exchange implementations and data mapping
  • SQL experience
  • Experience with ServiceNow, SharePoint, and Visio
  • Experience leading client and vendor meetings
  • Healthcare, PBM, or health plan experience

Telecommuting Requirements:
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills:
  • Ability to independently drive implementation activities
  • Strong customer relationship management skills
  • Exceptional attention to detail and follow-through
  • Ability to navigate ambiguity and solve complex business problems
  • Strong communication and presentation skills
  • Experience managing multiple projects and priorities simultaneously
  • Strong analytical, problem-solving, and organizational skills

*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 hourly pay for this role will range from $29.00 to $52.00 per hour 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 make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required

  • High School Diploma, GED, or equivalent work experience
  • Must be at least 18 years old
  • 3+ years of business process, implementation, operations, healthcare, or related experience
  • 2+ years of implementation, project coordination, or client-facing experience
  • Experience gathering and documenting business requirements
  • Intermediate to advanced Microsoft Excel skills
  • Ability to work full-time Monday through Friday with schedule flexibility during 9:00 a.m. to 5:00 p.m. business hours and occasional overtime
  • Experience with RxCLAIM and accumulator exchange processes
  • Experience with medical and pharmacy accumulator integrations
  • Experience with file exchange implementations and data mapping
  • SQL experience
  • Experience with ServiceNow, SharePoint, and Visio
  • Experience leading client and vendor meetings
  • Healthcare, PBM, or health plan experience

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Parental & Family Support Paid parental leave (six weeks), paid caregiver leave (up to two weeks), Bright Horizons back-up care, and adoption assistance up to $10,000 are prominently included. Feedback suggests these family supports meaningfully aid work-life balance and are often highlighted as strengths.
  • Retirement Support A 401(k) with company match is available to all employees, including part-time staff, alongside other financial protections like disability and life insurance. Feedback suggests broad access and matching make retirement support a core pillar of the package.
  • Equity Value & Accessibility An Employee Stock Purchase Plan offers discounted company stock, with some roles also eligible for sign-on or performance bonuses. Feedback suggests the ESPP is a standout financial perk that helps employees build ownership over time.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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