If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life’s best work.(sm) On the one hand, no industry is moving faster than health care. On the other, no organization is better positioned to lead health care forward than Optum and UnitedHealth Group. That’s what makes this opportunity so applause worthy. We have hundreds of business verticals across our matrixed organizations that are bringing thousands of new ideas, services and products to the marketplace every year. Our goal is simple. Use data and technology to help drive change and make the health care system work better for everyone. When you join us as a Business Process Consultant, you’ll be engaged in a complex business model that is highly adaptable to build solutions that meet their customer needs in a competitive and effective way. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead operational process & implementation of new products, enhancements, and projects Organize the work and resources of the project and identify all upstream and downstream impacts Evaluate project / program to establish best approach and roll out Provide consultation support to internal and external partners, with respect claims adjudication system Participate in the product life cycle with respect to system enhancements, which includes all phases of the enhancement right through to the end to end testing Provide claims adjudication system demonstration to clients, potential clients, as well as internal partners Assist with RFP responses Prepare and present training (as requested) This role will challenge your ability to work on complex projects where deadlines and scope shift frequently. You’ll need flexibility, agility and the ability to adapt to change while maintaining strong relationships with stakeholders in a highly cross-matrixed environment. 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: 5 years of experience with PBM / RxCLAIM adjudication and processes Experience working with internal and external clients in a consultative capacity Proficiency with Excel and PowerPoint Experience leveraging current functionality to meet client expectations Experience gathering requirements and providing recommendations for enhancements Experience with analytics specific to claims data and reviewing RxCLAIM set-ups to identify potential negative and positive impacts Experience writing SOP’s for external departments Preferred Qualifications: Undergraduate degree Client facing experience Training experience Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm) 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: rxclaims, rx claims, PBM, pharmacy, Rx, claims, client, consultant, business, telecommute, remote, work from home Job Details Requisition Number Job Title RxClaim Business Process Consultant – Telecommute Job Family Business Operations Business Segment OptumRx Job Location Information Minnetonka, MN United States North America Additional Job Detail Information Employee Status Regular Schedule Full-time Job Level Individual Contributor Shift Day Job Travel No Telecommuter Position Yes Overtime Status Exempt