Job Description

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.

Primary Responsibilities of the Senior Business Process Analyst:

• Lead Onshore Oversight of Automation & Technical Delivery: 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.
• Own End-to-End Delivery of Analytics & Reporting Solutions: 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
• Drive Model Monitoring, Validation, and Continuous Improvement: Support model performance tracking, quality control (QC), and refinement efforts, including incorporating audit outcomes and feedback into ongoing enhancements
• Ensure Compliance with PHI/PII and Regulatory Requirements: Act as an authorized onshore resource to handle sensitive claim-level data, ensuring adherence to federal/state regulations and client-specific restrictions
• Support Audit Operations and Performance Guarantees (PGs): Partner with auditors and leadership to generate insights, track audit outcomes, and ensure delivery against recovery targets and PG commitments
• Lead User Acceptance Testing (UAT) and Production Support: Oversee testing, validation, and release of new tools and enhancements; provide first-level support and coordinate with IT as needed
• Translate Business Needs into Technical Execution: Define requirements, prioritize initiatives, and ensure proper implementation across systems, workflows, and automation pipelines
• Communicate Insights and Influence Decision-Making: Develop and present findings, recommendations, and performance updates to leadership and clients

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• 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

Preferred Qualifications

• 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

*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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

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.

#RPO, #GREEN