Senior Business Analyst

Requisition Number: 2339954
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.
We are searching for a Senior Financial Analyst (Client / Benefits) at OptumRx. This is an internal facing role, meaning you will be working directly with our operational partners. This position requires a high level of analytical skill and unique expertise of benefits. As a key resource, you must maintain a high degree of accuracy along with attention to detail, excellent oral and written communication skills, strong personal work ethic and the ability to manage time to meet deadlines. Strong task prioritization skills and critical thinking skills are a must!
Success in this role will require the following:

• Detail oriented (specifically focused on data accuracy and presentation)
• Ability to manage time efficiently and prioritize effectively to adhere to deadlines
• Ability to multitask in a dynamic setting, flexible to changes, and maintain focus under pressure
• Solid organizational skills to track requests and deliverables
• Must be pro-active and have good problem-solving skills
• Ability to work both independently and within a team setting
• Ability to learn quickly and desire to take on new challenges
• Solid desire to make continuous improvements in all areas of responsibility
• Ability to follow-through, be resourceful and self-driven

Primary Responsibilities:

• Communicate and collaborate with our team
• Support client issue remediation by reviewing and analyzing pharmacy claims (calculating before and after scenarios)
• Review external auditor findings, for either agreement or disagreement
• Research, analyze, and evaluate claims data to identify patterns and validate accuracy
• Work closely with the client account team and other functional departments
• Provide explanations, interpretations, and recommendations for reporting results as needed
• Support various projects with financial impacts as needed
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:
• Candidate should be a graduate.

• Experience with RxClaim
• Working experience in PBM and pharmacy benefit structure
• 7+ Years total work experience.

• 4+ years of related experience within a Financial/Report Analysis.
• 2+ years of experience using analytical or critical thinking skills in a professional role (finance and/or accounting preferred)
• Experience working with large data sets, data manipulation and scrubbing to create meaningful conclusions and summaries
• Solid Microsoft Excel Skills (e.g., complex conditional formulas, nested formulas, V-lookups, pivot tables, etc.)

Preferred Qualifications:

• Remediation experience
• Experience with SQL: knowledge of tables and joins, writing query statements
• Experience in Microsoft Access: create tables, queries, joins, data manipulation
• Self-directed, works with minimal guidance, but recognizes when guidance needed
• Excellent communication, time/project management, problem solving, organizational, and analytical skills