Benefit Configuration Analyst

UnitedHealth Group•Tampa, FL

6d•$29 - $52•Remote

About The Position

The Benefit Configuration Analyst works remotely from anywhere within the United States and configures and maintains health plan benefit components. The role connects benefit plan documents and requirements to claims-processing payment rules, researches and resolves configuration gaps, and verifies that configuration matches source documentation. The analyst collaborates with stakeholders, addresses system issues, and works independently while meeting productivity, schedule-adherence, quality, and attendance standards. The position is full-time, Monday through Friday, with flexibility to work an 8-hour shift scheduled within normal business hours of 6:00 a.m. to 6:00 p.m. PST. Occasional overtime may be needed. Paid training is provided; training hours are based on the work schedule or discussed on the first day of employment.

Requirements

High school diploma or GED, or equivalent work experience.
Must be at least 18 years old.
At least 2 years of experience with Epic-Tapestry, EZ-CAP, Xcelys, IDX, or FACETS.
At least 2 years of experience with Medicare benefit configuration, claims issue resolution, or other areas of configuration.
Ability to meet established productivity, schedule-adherence, and quality standards while maintaining good attendance.
Oral and written communication skills.
Aptitude for working in a production-driven environment.
Ability to work independently as a self-starter.
Ability to multitask and work in a fast-paced, dynamic, rapidly changing environment.
Proficiency in Microsoft Office Suite and general computer proficiency, including the ability to learn new computer applications.
Ability to work full-time Monday through Friday, with flexibility for an 8-hour shift between 6:00 a.m. and 6:00 p.m. PST, and occasional overtime as needed.
For remote work: ability to secure sensitive company documents, a dedicated work area separated from other living areas that provides information privacy, and access to a UnitedHealth Group-approved high-speed internet connection or existing high-speed internet service. Must adhere to UnitedHealth Group’s Telecommuter Policy.
Interpersonal skills, including the ability to work with people from different backgrounds and build and maintain internal business relationships.
Decision-making skills, including weighing options to reach appropriate decisions.
Strong verbal and written communication and listening skills.
Accountability, attention to detail, and ownership of tasks, performance standards, and quality results.
Problem-solving skills, including troubleshooting root causes and determining a path to resolution.
Flexibility and ability to contribute ideas in a changing environment.
Time-management and organizational skills to balance priorities, process detailed tasks accurately, and meet deadlines.

Nice To Haves

At least 2 years of health insurer experience with medical plan case installation or benefit plan building.
At least 2 years of health insurer experience handling provider billing, copayments, or coinsurance.
At least 2 years of health insurer experience resolving provider claim issues.
Experience with Medicare medical benefit plans.

Responsibilities

Understand how benefit configuration ties directly to claims-processing payment rules.
Use knowledge of benefit plans and documents to gather details and create or update applicable product configuration elements.
Collaborate with stakeholders to gather, assess, interpret, and document customer needs and requirements.
Identify and analyze system issues and provide solutions.
Design, configure, and build product and benefit components.
Research claims issues to determine configuration gaps and update configuration as applicable.
Audit configuration against benefit plan requirements and EOC or other source documentation, and verify configuration against that documentation.
Work with minimal guidance and supervision.
Serve as a resource to other team members.
Meet established productivity, schedule-adherence, and quality standards while maintaining expected attendance.