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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.

The Quality Business Process Analyst reviews assigned business processes from end-to-end to identify and address operational, financial and technological risks. Identifies opportunities to improve process and manages improvement projects for HEDIS, CAHPS and HOS strategic initiatives. Investigates non-standard requests and problems, makes presentations to direct management and completes projects on time and within scope.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST time zone only.

We offer 60 days of paid training, 8:00 am - 5:00 pm EST time zone only from Monday - Friday.

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

Primary Responsibilities:

• Coordinates and completes projects across various functional areas that support Quality campaign initiatives.

• Leads Project Management initiatives as project assignments and / or identified because of a business process review.

• Performs moderately complex business analysis and project management.

• Tracks and reports on project status to colleagues and senior management.

• Responsible for documentation management (development and revisions) of assigned processes: workflows, policies and procedures, letters, etc.

• Synthesizes data, develops recommendations, and reviews findings with business leadership.

• Prepares review documentation including Microsoft Visio process maps and PowerPoint presentations. (Create & Design – not using templates)

• Possesses moderate to high EXCEL skills that include, but are not limited to creating pivot tables, v-look ups, and large data set bumps.

• Creates a process management system to monitor key performance indicators.

• Serves as a liaison between Quality and IT to assist and alter business requirements needed for system modifications, enhancements and implementations, even acting as Project Manager where experience is warranted.

• Performs all other related duties as assigned.

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 Qualification:

• High School Diploma / GED

• Must be 18 years of age OR older

• 3+ years of associated business experience with health care industry

• 1-3+ years of experience with processing improvement initiatives

• 1+ year of HEDIS / Star experience

• Ability to successfully conceptualize an initiative, develop a plan and execute the plan through implementation

• Experience in mobilizing teams and maintaining motivation to accomplish goals under stringent timelines

• Ability to interact one-on-one and consult with all levels of executive management

• Proficiency with Microsoft Office applications to include Microsoft Word, Microsoft Visio, Microsoft PowerPoint (Design and Create - not just using templates) and Microsoft Outlook

• Intermediate to advanced Microsoft EXCEL skills that include, but are not limited to creating pivot tables and v-look ups

• Large data set bumps

• Working knowledge of Share Point

• Ability to work between the hours of 8:00 am - 5:00 pm EST time zone only from Monday - Friday

Preferred Qualification:

• Project Management experience

• PMP OR Six Sigma certification

• Medical / clinic background highly

• Experience with CAHPS and HOS

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

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy  

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

A pplication 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.

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OptumCare i s 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.

OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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