About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:




Approximate Salary:

Not Specified

Position Type:

Full Time

Clinical Rule Analyst - Schaumburg,IL or Irvine, CA

UHG - Irvine, California

Posted: 11/19/2018

Can you picture transforming health care for millions? It’s right in front of you at Optum, a part of the UnitedHealth Group family of businesses. As an Associate Product Specialist, you’ll work on projects such as product re-design, market and competitor analysis, marketing strategy plans, benefit design and implementation, claims reporting projects and more. Learn more by applying today.
Primary Responsibilities:
  • Establish & lead operational process for annual clinical rule review to ensure established business & timeline commitments are met
  • Create & manage rule management processes and projects - such as master timelines - in order to meet established timelines
  • Manage & triage intake opportunities to properly distribute tasks, issues, rule requests, etc. to ensure proper completion or closure
  • Uses existing procedures and facts to solve routine problems or conduct routine analyses
  • Coordinate creation & maintenance of rules management related policies and procedures to ensure they are current and accurate including processes
  • Manage publication of executive and activity dashboards per established schedules. Function will include on-going review & update of current metrics to ensure they are meeting business needs
  • Part of leadership for rule operations quality control. Function will include data analysis, identification & mitigation of potential risks, concise communication of results & coordination on issue resolution as needed.
  • Creation and management of rule parameter changes database in collaboration with SMEs

Required Qualifications
  • Pharmacy Technician Experience Required
  • 2+ years of healthcare experience
  • BA / BS degree in Accounting, Finance, Business or healthcare related field and/or equivalent education and experience
  • Advanced proficiency in MS Word
  • Intermediate proficiency in MS Excel, Access
  • Basic proficiency in MS Project, Visio and PowerPoint
  • Previous experience in maintaining professional relationships with internal stakeholders, constituents or external vendors
  • Available location for this positions: Schaumburg, Irvine, CA
Preferred Qualifications:
  • Experience working within clinical programs
  • PBM experience

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.


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.

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