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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:

Business Operations


United States

Approximate Salary:

Not Specified

Position Type:

Full Time

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Prior Authorization Business Consultant - Telecommute

UHG - Illinois, United States

Posted: 09/6/2018

Here’s the thing about challenges. They provide limitless opportunities for greatness. And what we have in mind for you is definitely big. At UnitedHealth Group, we're changing the future of health care and we have the expertise, advanced technology and global resources to make it happen. As a Senior Reporting Analyst, you'll work with the brightest minds in the business and find yourself digging deep to find the solutions to help people live healthier lives. You'll be responsible for analyzing, reviewing and forecasting data for operational and business planning to impact the health care system. What could be more satisfying than that? Join us!


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

Primary Responsibilities:
  • Serve as a Product Owner for a Data & Reporting Agile Team supporting Pharmacy Prior Authorization Data

  • Work with Account Management & Pharmacy Prior Authorization Operations stakeholders to define data and report requirements and develop reporting solutions

  • Conduct User Acceptance Testing for data solutions

  • Coordinate with offshore resources to manage work load of UAT staff and ensure testing is accurate, timely and appropriately documented

  • Develop Automated reports using a variety of technologies

  • Analyze, review, forecast and trend complex data

  • Present analyses and recommendations for operational and business review / planning

  • Support short- and long-term operational / strategic business activities through analysis

  • Develop, recommend and implement business solutions through research and analysis of data and business processes

  • Manage ticket system for new requests and assignment of work to other reporting analysts to ensure timely delivery of reports


This is a complex, fast-paced, matrixed environment with a lot of moving parts. The challenge is in developing, enhancing and maintaining operational information and models. You'll be expected to interpret and analyze large amounts of data from multiple sources and use it to tell a meaningful story.

Required Qualifications:
  • 2 years’ experience Prior Authorization process within Healthcare/PBM (e.g., Medicare, Medicaid, Commercial, etc.)

  • 2 or more years’ experience analyzing, reviewing, forecasting and trend complex data

  • Intermediate experience with PAS (Prior Authorization System) - front-end navigation and PA request processing (receipt to notification) – or similar system

  • Intermediate proficiency with Excel and PowerPoint


Preferred Qualifications:

  • Pharmacist - preferred
  • PBM Sales experience – preferred
  • 1 or more years of experience working with UAT

  • Project management skills a plus

  • Intermediate proficiency with SSRS, Tableau, and COGNOS



UnitedHealth Group is a Fortune 6 company with powerful resources to help make health care better for everyone. Help us meet the evolving needs of the changing health care environment and get going on your life's best work.(sm)

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.


*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy



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.



Job Keywords: Prior authorization, healthcare, Pharmacy, Pharmacist, PBM, Medicare, Medicaid, regulatory requirements, governance, PAS, Excel, PowerPoint, SSRS, Tableau, COGNOS, UAT, telecommute, telecommuter, work from home, remote

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