Benefit Configuration Analyst (Facets Required) - 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: 

• 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 Business Process Automation (BPA)
• Research claims issues to determine configuration gaps, update configuration as applicable
• Audit configuration against benefit plan requirements / Evidence of Coverage (EOC), etc., verify configuration following source documentation
• Acts as a Subject Matter Experience (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. 

Required Qualifications: 

• Experience working with Medicare and/or Commercial plan Benefit Configuration, claims issue resolution or other areas of Facets configuration
• Experience reading contract requirements, interpreting benefits, configuring and entering into the Facets system
• Experience working with Facets database tables and configuration
• Proficiency in Microsoft Word, Excel, and Outlook
• Demonstrated excellent oral and written communication skills
• Demonstrated ability to work in a fast-paced, dynamic, rapidly changing environment
• Proven self-starter and able to work independently
• Proven ability to constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance

Preferred Qualifications:

• Health insurer experience with medical plan case installation or benefit plan building
• Health insurer experience handling provider billing/co-payments/co-insurance
• Health insurer experience resolving provider claim issues
• Experience working with BPA and/or Workflow
• Experience with Medicaid, Medicare or Commercial medical benefit plans
• Experience with COSMOS or UNET or NICE
• Experience building and running SQL queries using tools such as MS Access, Query Builder, or similar
• Understanding of claims Workflow routing, queues, and roles
• Knowledge of supporting tools from Cognizant

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $28.03 to $54.95 per hour. 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.

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.