Benefit Capability Manager - Remote

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

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

Primary Responsibilities: 

• Creates complex design documents through the assessment of requirements. Assesses alternatives to different designs and chooses best solution to fit business needs
• Perform oversight of configuration on new client implementations and act as configuration lead if necessary
• Conducts analysis, configures, tests and creates configuration documentation solutions for all applications in the Facets system
• Provides technical assistance/mentoring to other configuration analysts
• Serve as primary Configuration subject matter expert to critically assess market and payor contracts, DOFR (Division of Financial Responsibility) documents, EOC'S (Evidence of Coverage) , etc., to ensure Facets system functionality can meet benefit and group services requirements; and recommend solutions to minimize manual processes to address system limitations
• Gather technical requirements and participate in the documentation of business requirements to create automated to improve standards in configuration operations
• Act as escalate lead for identified risks; work with operational areas to develop and execute risk mitigation plans
• Provide thought leadership in identifying and defining ongoing incremental opportunities
• Prepare materials and present to leadership team

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 Facets Configuration experience with benefit configuration
  
• 3 years of experience with group structure/eligibility configuration
  
• 3 years of working with Medicare, Medicaid or Commercial products
  
• Experience gathering and documenting business requirements, creating user stories, and developing workflows
  
• Solid knowledge of business end-to-end processes that impact benefit administration and claims processing
  
• Proven ability to interpret benefit requirements and drive benefit structure to apply network requirements
   

Preferred Qualifications:

• Experience with health plan delegation and operations
• Experience with UHC Secondary Platforms (CSP (Community & State) Facets / COSMOS (Claims Platform)
• Experience executing SQL queries and analyzing reports
• FARM (Facets) Module knowledge
   

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $88,000 to $173,200 annually. 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 employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.    

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.   

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.