Facets Senior Configuration Analyst - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? 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:

• Be able to demonstrate the core values for UHOne - Integrity, Compassion, Relationships, Innovation, and Performance
• Acts as the subject matter expert for in-depth knowledge and understanding of the configuration and controls associated with transactional processing in Facets
• Prepares all the required documentation and submits to the necessary parties to implement new products, enhance existing products, or implement new system functionality 
• Manages and performs the daily operational activities and/or project activities which may be identified through daily work assignment or project assignment 
• Participates on all internal or external calls related to configuration control
• Acts as the primary contact to provide answers, perform research or any other activities required to answer questions in a timely manner
• Acts as the liaison between business and department to obtain information or answer questions
• Provides subject matter to develop and execute end-to-end user test cases related to validate benefit configuration and controls
• Identifies issues that may occur within the testing process and provide resolution in a timely manner to ensure critical project timelines are met
• Escalates issues with manager and business when required to resolve issues or meet critical timelines
• Develops and provides documentation as required to other team members
• Performs walk-throughs of configuration design and testing results to obtain necessary approvals to move forward into implementation
• Validates implementation in production ensuring configuration and controls are working as required
• Proactively takes the initiative to expand knowledge of the Facets database
• Obtains, reviews, and validates daily reporting to note any issues and undertake the necessary actions to resolve
• Develops, writes, and manages associated procedures, manuals, and documentation
• Identifies and writes new procedures or updates existing procedures
• Is the lead subject matter expert and holds the primary relationship with peers and business
• Is the primary contact to open and log all operational and project issues related to configuration
• Embraces culture of growth, change, and continuous learning
• Mentors and coaches for the development of others and actively pursues opportunities for enhanced knowledge on Facets and supporting applications
• Reporting risks that are identified to the appropriate team and/or management
• Additionally, responsible for managing, monitoring, and reporting risks within the scope of your work area, to include, but not limited to Information Security risks
• Checking information and picking up inconsistencies and mistakes with themselves and others
• Work in an Agile environment to create User Stories and Tasks from analysis through implementation ensuring needs are captured and delivered
• Supports others in their time planning and organizing
• Handle new system configuration setups with large and complex scope, including most difficult or advanced problems
• Can work through difficult circumstances affecting key relationships
• Regularly works on tasks that are varied and complex. Applies full range of specialized skills and job knowledge; frequently adapts procedures

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: 

• 6 years of Facets Benefit Configuration
• Business process analysis experience preferably in healthcare (i.e., documenting business process, gathering requirements) 
• Experience configuring Group, Subgroup, and Class/Plan
• Experience using Paper Build documents
• Unit test and change validation experience
• Recent Facets front end product build experience with Facets 5.5 or newer (product, type of service assignment, service payment, service rules, supplementals, limits, accums, etc.)
• Fully understands how political, commercial, and practical issues influence change, can anticipate the effect of these and change accordingly
• Knowledge of business utilization of the Subscriber/Family Application, including the ability to research/troubleshoot issues
• Proven ability to support others to make realistic estimates of time and resource requirements; independently prioritizes tasks and monitors progress through to completion
• Proven ability to troubleshoot, identify root cause, and resolve claims processed in the Facets UI
  
• Proven ability to understand complex claims adjudication and pricing logic
  
• Proven ability to work quickly and efficiently in an environment where priorities and tasks may shift
• Proven ability to interpret and convert requirements and product design into configuration builds

Preferred Qualifications:  

• SQL querying experience with Facets claims, benefit, and product backend tables
• Experience with Facets CMU
• Experience with Agile methodologies
• Experience with Member Batch and Inquiries (EDI 834, 270/271)
• Experience with configuring within the Accounting Application Group: Billing Component, Fees, General Ledger Mapping, Line of Business, Payment, Bank Account, and Payor
• Workflow rules, roles, hierarchy/sections, and routing configuration
• Knowledge of Workflow and how it is used for benefit configuration
• Proven ability to read Benefit Summary document and determine Product and Benefit configuration

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.  
 
  
California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $85,000 to $167,300 per year. 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: 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.