IT-Business Systems Analyst/27/TEC013

We are looking for an experienced Claims Data Analyst to support healthcare testing initiatives for a Long-term Contract opportunity based in Minneapolis, Minnesota. In this role, you will contribute to test planning and execution activities with a strong emphasis on claims comparison efforts within a structured enterprise environment. This position is fully remote opportunity.

Responsibilities:

• Drive the execution and continuous improvement of client implementation testing capabilities, including Claims Compare, End‑to‑End (E2E), and Claims Extract testing, to ensure implementation readiness prior to go‑live
• Execute client and internal testing activities by researching and validating against client source‑of‑truth (SOT) documents, designing, and maintaining test scenarios, and identifying configuration gaps, defects, and implementation risks prior to production go‑live
• Partner cross‑functionally with OptumRx business, operations, and technology teams to plan, coordinate, and support testing activities, enabling timely decision‑making and issue resolution
• Present client test templates, scenarios, and testing approach, and review and walk through testing results with clients and internal stakeholders to support understanding, validation, and resolution of findings
• Develop, maintain, and govern business test artifacts, including test scenarios, SOPs, client test manuals, templates, and playbooks supporting functional and end‑to‑end testing
• Apply and continue to develop strong knowledge of OptumRx systems, applications, and benefit configuration to support accurate test execution, result analysis, and validation of client implementations
• Identify and drive process improvement, standardization, and automation opportunities to increase testing efficiency, scalability, and overall client experience

Qualifications:

• 3+ years of experience in a fast-paced strategic environment that includes technical design, business process analysis, business application implementation, and associated skills
• 1+ years of experience using RxCLAIM, including creating claims.
• 1+ years of Pharmacy Benefit experience and researching claim information
• Intermediate or above skills in excel
• Understanding of SQL Query
• Experience facilitating across functional team through major process and business changes
• Experience utilizing data to influence key process decision makers
• Experience using excellent judgment, problem resolution, team building, negotiation, conflict resolution, budgeting, decision-making, and experience working under continual deadline pressure
• Experience effectively using time management and scheduling skills
• Experience in risk planning and risk identification, quantification, and response planning
• Experience working in multiple areas of business
• Proven ability to motivate and influence

Compensation

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