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Senior Configuration Analyst - Telecommute

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: January 7, 2022

Job Description:

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
We are looking for a Sr. HealthRules Configuration Analyst who is a SME in Benefit Configuration and Pricing. The Sr. HealthRules Configuration Analyst will play an essential role in our clients' projects by leading HealthRules configuration design, system changes, and quality assurance testing. The Sr. HealthRules Configuration Analyst will work with the Project team to gather and document requirements; develop or modify data, information, and functions for the Health Plan processes; including, but not limited to, benefit configuration, claims processing, clinical editing, utilization management, and enrollment.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Uses extensive HealthRules configuration, business knowledge, and effective communication skills to lead, facilitate, and elicit requirements for projects
Assists with the analysis and documentation of current and future states, defining user requirements in the design of the future state workflows, to optimize system functionality
Develops business process artifacts (configuration design documents, process flow, work state diagrams, etc.) as they pertain to enterprise-level processes, spanning multiple functional areas. Documents and implements configuration and process improvements and control documentation
Reviews change requests to ensure consistency and compatibility to existing systems and procedures, including researching, validating, and resolving issues for accurate processing. Identifies, communicates, documents, and escalates information from all levels (end-users to leadership)
Troubleshoots configuration and technical issues, and identifies modifications needed to meet changing user and regulatory requirements
Assists in the education and training of end-users. Supports development of expert users, and mentors inexperienced users
Manages and facilitates meetings and presentations effectively and professionally to report progress and any issues. Prioritizes, plans, and organizes with Project Manager to ensure high quality results are completed on time

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:
5+ years of experience in multiple areas of health insurance (claims / pricing / billing)
5+ of experience required in all or most of the following; Medicaid, Medicare, ITS, FEP, Commercial small group and large group, ACA
3+ years of HeathRules Configuration
Expert in the use of Word, Excel, Visio, and other tools used for documentation and reporting purposes including MS Excel, MS Access)
Preferred Qualifications:
Bachelor's degree in healthcare administration or related field. Applicable experience may be considered in lieu of a bachelor's degree
Consulting experience
Technical knowledge of database supporting HealthRules

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination 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 may 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 salary range for Colorado residents is $79,700 to $142,600. The salary range for Connecticut / Nevada residents is $87,900 to $156,900. 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.

Job Keywords: Senior Configuration Analyst, Configuration Analyst, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

Keywords: UnitedHealth Group, Eden Prairie , Senior Configuration Analyst - Telecommute, Professions , Eden Prairie, Minnesota

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