Senior Benefit Configuration Analyst

UnitedHealth Group•Tampa, FL

3d•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Requirements

High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
3+ years of experience working with Medicare and / or Commercial plan benefit configuration, claims issue resolution or other areas of Facets configuration
3+ years of experience working with Facets database tables and configuration
2+ years of experience working with Facets BPA and / or Workflow
Experience with Windows based programs including Microsoft Word, Microsoft Excel, and Microsoft Outlook
Computer proficiency including, but not limited to, ability to learn new computer system applications
Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime.
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Interpersonal Skills - ability to deal and work with people with different backgrounds. Demonstrated ability to build and maintain long term internal business relationships
Decision-Making Skills - capable of arriving at the appropriate decisions after weighing the pros and cons of all the options
Communication Skills - excellent verbal and written communication skills in addition be a good listener to give value to the opinion and suggestion of others
Accountability – Takes ownership of tasks, performance standard and quality results. Maintains necessary attention to detail to achieve high level performance
Problem Solving - Solution Driven Approach Skills - demonstrate ability to review problem, troubleshoot root cause issues and determine path to resolution
Flexible - Able to work effectively in a changing environment and contribute innovative ideas
Accuracy and Efficiency - Excellent time management and organizational skills balancing multiple priorities. Accurate when processing detailed tasks while meeting deadlines
Self-starter, able to independently, drive work and prioritize work with minimal oversight
Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance

Nice To Haves

2+ years of health insurer experience with medical plan case installation or benefit plan building
2+ years of health insurer experience handling billing / co-payments / co-insurance
Understanding of claims Workflow routing, queues, and roles
Experience building and running SQL queries using tools such as Microsoft Access, Query Builder, or similar
Knowledge of supporting tools from Trizetto / Cognizant and other vendors such as CMU or similar applications

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 BPA
Research claims issues to determine configuration gaps, update configuration as applicable
Audit configuration against benefit plan requirements / EOC, etc, verify configuration following source documentation
Acts as a 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