Claim Configuration Senior Analyst - Remote

UnitedHealth Group

  • Minnetonka, MN
  • $71,200-127,200 per year
  • Permanent
  • Full-time
  • 1 day ago
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.We are seeking a detailed-oriented and collaborative person to design, build, and validate complex system configuration changes and new configuration requirements. Duties include troubleshooting and fixing system configuration errors, perform investigations and root cause analysis of trouble tickets, and ensuring day to day issues are identified and appropriately addressed. They support short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models. The ideal candidate will have a strong understanding of healthcare insurance including Federal and State regulations. This person will work closely with several teams to ensure high-quality configuration.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
  • Configuration Design
  • Collaborate with business units, delivery leads, IT and architecture teams to assist with in-depth analysis of business requirement to be used in the design and configuration of the Cirrus system as it pertains to claim adjudication
  • Communicate with all stakeholders and varying levels of the organization
  • Present and evaluate design solutions objectively and facilitate conflict resolution
  • Define, use and communicate design patterns and best practices in service-oriented analysis, design and development
  • Configuration Build & Maintenance
  • Configuration of new requirements as it pertains to claims data for new business brought onto the Cirrus Platform
  • Configuration of all maintenance requests for existing business on Cirrus Platform
  • Root cause analysis and remediation of the configuration within the Cirrus Platform
  • Configuration Quality Assurance
  • Participate in quality assurance and testing to ensure configuration is ready for implementation
  • Collaborate with multiple testing teams to ensure testing efforts align with system deliveries and business processes
  • Recommend strategies to improve service development life cycle and governance processes
  • Understand and use enterprise service and data models
  • Act on identified areas of quality improvement
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:
  • 3+ years of healthcare and/or health insurance experience
  • 3 + years of experience working directly on a claim platform (e.g. FACETS, Unet, Cosmos)
  • Intermediate or greater level of proficiency with Microsoft Excel and Word
  • Ability to work effectively with minor supervision
  • Proven ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlines
  • Proven excellent oral and written communication skills, interpersonal skills and organizational abilities are essential
Preferred Qualifications:
  • Claims adjudication experience
  • Claims or clinical configuration experience
  • Experience running excel macros, validating quality and troubleshooting output
  • Knowledge of data structures within a health plan configuration system
  • Experience identifying patterns within quantitative data, drawing conclusions and recommending solutions and approaches; skilled with end-to-end issue resolution
  • Proven ability to clearly articulate (both verbal and written) project status and issues to management
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group