Sr Facets Benefit Configuration Analyst – Telecommute

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.(sm)

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

Primary Responsibilities:

• Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements
• Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements
• Design, configure and build various product / benefit components in Facets with emphasis on BPA
• Research claims issues to determine configuration gaps, update configuration as applicable
• Audit configuration against benefit plan requirements / EOC, etc, verify configuration following source documentation
• Acts as a SME to other team members to answer questions and coaches on opportunities
• Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance
• Represent benefit configuration in business partner meetings as a SME to research and respond to action items
• Facilitate meetings to partner with others on issue resolution and problem solving including follow up on action items as needed

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 be interested in.

Required Qualifications:

• 3+ years of experience working with Medicare benefit configuration, claims issue resolution or other areas of Facets configuration
• 3+ years of experience working with Facets database tables and configuration
• 2+ years of experience working with Facets BPA and/or Workflow
• 2+ years of experience working with Facets Business Process Automation
• Proficiency in Microsoft Word, Excel, and Outlook
• Computer proficiency including, but not limited to, ability to learn new computer system applications

Preferred Qualifcations:

• 2+ years of health insurer experience with medical plan case installation or benefit plan building
• 2+ years of health insurer experience handling provider billing/co-payments/co-insurance
• 2+ years of health insurer experience resolving provider claim issues
• Experience with Medicare medical benefit plans
• Facets configuration experience
• Experience with COSMOS or UNET or NICE
• Experience building and running SQL queries using tools such as MS Access, Query Builder, or similar
• Understanding of claims Workflow routing, queues, and roles.
• Knowledge of supporting tools from Trizetto and other vendors such as CMU or similar applications
• Ability to multi-task
• Excellent oral and written communication skills
• Ability to work in a fast-paced, dynamic, rapidly changing environment
• Solid aptitude for working in a production driven environment
• Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance

Soft Skills:

• Interpersonal Skills – ability to deal and work with people with different backgrounds. Demonstrated ability to build and maintain long term internal business relationships
• Decision-Making Skills – capable of arriving at the appropriate decisions after weighing the pros and cons of all the options
• Communication Skills – excellent verbal and written communication skills in addition be a good listener to give value to the opinion and suggestion of others
• Accountability – Takes ownership of tasks, performance standard and quality results. Maintains necessary attention to detail to achieve high level performance
• Problem Solving – Solution Driven Approach Skills – demonstrate ability to review problem, troubleshoot root cause issues and determine path to resolution
• Flexible – Able to work effectively in a changing environment and contribute innovative ideas
• Accuracy and Efficiency – Excellent time management and organizational skills balancing multiple priorities. Accurate when processing detailed tasks while meeting deadlines
• Self-starter, able to independently, drive work and prioritize work with minimal oversight

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement result in rescission of an employment offer or termination of employment

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)

Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $31.78 to $56.88. The hourly range for Connecticut / Nevada residents is $35.00 to $62.45. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*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.