[Hiring] Senior 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

This position is 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 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of paid training. The hours during training will be 8:00 am - 4:30 pm CST, Monday - Friday. Training will be conducted virtually from your home. No PTO during training.

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 may be interested in.

Qualifications

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 3+ years of experience working with Medicare and / or Commercial plan 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.
• Experience with Windows based programs including Microsoft Word, Microsoft Excel, and Microsoft Outlook.
• 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 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications

• 2+ years of health insurer experience with medical plan case installation or benefit plan building.
• 2+ years of health insurer experience handling billing / co-payments / co-insurance.
• Understanding of claims Workflow routing, queues, and roles.
• Experience building and running SQL queries using tools such as Microsoft Access, Query Builder, or similar.
• Knowledge of supporting tools from Trizetto / Cognizant and other vendors such as CMU or similar applications.

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.
• Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.

Pay and Benefits

Pay 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).

The hourly pay for this role will range from $35.00 - $62.50 per hour 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.

Company Description

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.