[Hiring] Benefit Configuration Analyst @UnitedHealth Group

Role Description

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

Primary Responsibilities:

• Understand how benefit configuration ties directly to claims processing payment rules
• 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
• Identify and analyze system issues to provide solutions
• Design, configure and build various product / benefit components
• Research claims issues to determine configuration gaps, update configuration as applicable
• Audit configuration against benefit plan requirements / EOC, etc., verify configuration following source documentation
• Work with minimal guidance and supervision
• Serve as a resource to other team members
• Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance

Qualifications

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience with Epic-Tapestry, EZ-CAP, Xcelys, IDX, or FACETS
• 2+ years of experience working with Medicare benefit configuration, claims issue resolution or other areas of configuration
• Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
• Oral and written communication skills
• Aptitude for working in a production driven environment
• To be a self-starter and able to work independently
• Ability to multi-task
• Ability to work in a fast-paced, dynamic, rapidly changing environment
• Proficiency in Microsoft Office Suite
• Computer proficiency including, but not limited to, ability to learn new computer system applications
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm PST. It may be necessary, given the business need, to work occasional overtime

Requirements

• 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

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment