Easter Seals Jobs

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.

Positions in this function are responsible for the successful program design, compliance with network and pricing requirements, network assessment and selection, and program/technology product implementation. This includes consulting with business users and technology specialists to define business processes to deliver high quality system solutions for our operational functions. May perform network analysis and strategy development and implementation. Obtains data, verifies validity of data, and analyzes data as required. Analyzes network availability and access. May make recommendations regarding use, expansion, selection of networks for various products based on that analysis. Roles may support both current system improvements and maintenance along with new system development.

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

Primary Responsibilities:

• Lead a team of Retail Network Operations Analysts that support setup and maintenance of OptumRx’s retail pharmacy networks.

• Oversee the setup up and maintenance of OptumRx’s Retail Pharmacy Network

• Predict emerging client needs and develop innovative solutions to meet them

• Solve unique and complex problems with broad impact on the business operations

• Perform network analysis and strategy development and implementation

• Obtain, validate, and analyze data as you analyze network availability and access

• Direct cross-functional and/or cross-segment teams

• Interprets client contracts including financial and general terms

• Works in large datasets including to pull and synthesize data

• Reviews the work of others and ensures quality of the Retail Network Operations team

• Review, create and/or maintain workflows, job aids, trainings and employee resources to ensure operational efficient across team.

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:

• 2+ years of experience with a PBM

• 1+ years of experience as an Analyst within Healthcare

• Experience with RxClaim

• Experience with advanced communication skills, written and verbal

• Intermediate level proficiency in MS Excel, MS Word, PowerPoint, Outlook

Preferred Qualifications:

• Experience with leading cross-functional operational teams

• Experience with interacting effectively with different business departments, team members, and external clients at all levels

• Experience with excellent critical thinking and problem-solving skills

• Ability to deal with ambiguity and drive results

• Desire to make an impact, manage multiple tasks, and shift priorities quickly

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

California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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.

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.