Lead Benefits Analyst - Remote

Unitedhealth Group Hartford , CT 06183

Posted 2 months ago

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Energize your career with one of Healthcare's fastest growing companies.

You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The Benefit Analyst is responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and / or source documents. May research installation issues and develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.

This position is full-time (40 hours/week) Monday

  • Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of 8:00am

  • 5:00pm. It may be necessary, given the business need, to work occasional overtime. Training will be conducted virtually from your home.

  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

  • Research issues and develop customer specific resolutions

  • Build, maintain, and audit benefits in RxCLAIM

  • Provide and design all pieces for implementation

  • Serve as a resource to business partners and co - workers

  • Assist with the development of process improvement for the department

  • Analyze data

  • Design the benefit plan

  • Support client management with research

  • Perform other duties as assigned

  • Generally, work is self - directed and not prescribed

  • Work with less structured, more complex issues

  • Provide explanations and interpretations within area of expertise

  • Maintain an acceptable quality level and production turnaround time

  • Use automation tools effectively

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 higher)

  • 3+ years of experience in a pharmacy or healthcare insurance / Pharmacy Benefit Management (PBM) environment using the computer as the primary instrument to perform job duties

  • 3+ years of experience working with RxClaim in a benefit analyst role and having plan coding experience

  • Experience working with RxClaim, including ability to navigate the system and understand the functionality at a plan administration level

  • Working knowledge of Microsoft Excel (ability to create spreadsheets to input, sort, and filter data)

  • Ability to work any of our 8 hour shift schedules within the hours of 8:00 am

  • 5:00 pm, Monday through Friday with the possibility of working overtime either before, after, or on a day other than your scheduled day

Preferred Qualifications:

  • Bachelor's Degree (or Higher) in pharmacy or healthcare fields

  • 2+ years of experience in a PBM environment performing a benefit related function

  • Quality assurance experience

  • Pharmacy Technician and / or CPHT License

  • Proficiency with Microsoft Word, Microsoft Access and Microsoft PowerPoint - ability to open, create, edit, save, and send documents, databases, and presentations

Telecommuting Requirements:

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Ability to keep all company sensitive documents secure (if applicable)

  • 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 be flexible and work in a constantly changing environment

  • Self - directed and the ability to prioritize caseloads based on business and customer needs

  • Ability to run projects and present to clients

  • Capability to mentor and train team members, as well as provide and create training documents

Physical and Work Environment:

  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer

  • Service center environment with moderate noise level due to Representatives talking, computers, printers and floor activity

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Colorado Residents Only: The hourly range for Colorado residents is $25.63 to $45.72. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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.

Keywords: Prior auth, prior authorization, PBM, Pharmacy, pharmacy technician, RXAUTH, PAS, RXClaim, Sharepoint, Business Rules, PresPlus Share, NewLeaf, Optum, OptumRx, UnitedHealthcare, UnitedHealthcare Group, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

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Lead Benefits Analyst - Remote

Unitedhealth Group