Healthcare Data Analyst - RxClaim Systems

About The Company

Optum, a part of UnitedHealth Group, is a global organization dedicated to transforming healthcare through innovative technology and compassionate care. We serve millions of individuals worldwide by providing integrated health services, pharmacy benefits, and data analytics designed to improve health outcomes and promote health equity. Our culture is rooted in diversity, inclusion, and continuous growth, offering our employees a platform to make a meaningful impact on communities and individuals alike. With comprehensive benefits, career development opportunities, and a commitment to making healthcare more accessible and equitable, Optum is a leader in advancing health on a global scale.

About The Role

We are seeking a detail-oriented and analytical professional to join our team as a Healthcare Data Analyst specializing in RxClaim systems, with a primary focus on Medicare Part D. This is a remote, full-time position based within the United States, offering flexibility to work from anywhere. The successful candidate will be responsible for conducting research, impact analysis, and system defect resolution to ensure the accuracy and efficiency of our pharmacy benefit systems. You will collaborate closely with IT and other stakeholders to review development solutions, perform complex root cause analyses, and serve as a subject matter expert in RxClaim, particularly regarding Medicare Part D operations. This role offers on-the-job training and requires a proactive approach to problem-solving, data analysis, and system management to support our mission of delivering high-quality, equitable healthcare services.

Qualifications

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 4+ years of experience with data/system analysis and/or design responsibilities
• 4+ years of experience developing and maintaining SQL queries
• Intermediate proficiency with Microsoft Word and Excel (formulas, VLOOKUP, pivot tables)
• Ability to work during normal business hours of 8:00am - 5:00pm CST
• Experience or familiarity with healthcare systems, particularly pharmacy benefits, is preferred
  
  

Responsibilities

• Create and execute SQL queries and scripting to support research and impact analysis activities
• Deliver accurate and timely resolution of system defects within RxClaim platform
• Conduct complex independent and collaborative research to identify root causes of system issues
• Collaborate with IT teams to review and develop solutions for system defects and enhancements
• Perform conceptual analyses of system issues to recommend effective resolutions
• Act as a subject matter expert on RxClaim, with a primary focus on Medicare Part D operations
• Document and communicate findings, solutions, and process improvements to stakeholders
• Assist in testing system updates and developing system requirements and test plans as needed
• Support ongoing system maintenance and participate in training activities
  
  

Benefits

• Comprehensive health, dental, and vision insurance plans
• Retirement plans including 401(k) with company match
• Incentive and recognition programs
• Equity stock purchase opportunities
• Paid time off and holidays
• Flexible work arrangements and telecommuting options
• Career development and training programs
• Supportive and inclusive work environment
  
  

Equal Opportunity

UnitedHealth Group is an Equal Employment Opportunity employer. We are committed to creating a diverse and inclusive workplace where all individuals are treated with respect and fairness. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, gender, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic under applicable law. We promote a drug-free workplace and require candidates to pass a drug test prior to employment.