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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

OptumInsight Consulting

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

***Senior Consultant, Claims Implementation/Configuration - Telecommute

UHG - Minnetonka, Minnesota

Posted: 11/12/2018

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) 

 

We are seeking candidates that can lead claims system integration and claims configuration activities for a core claims administrative systems such as (IKA, QNXT, FACETS, Health Rules, etc.) based on expertise in one or more functional areas (e.g., Product, Provider, Member, Finance)

 

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

  

Primary Responsibilities:

  • Lead system and/or configuration design activities including direct management of project team members
  • Participate in design sessions
  • Participate in test development and execution activities
  • Provide configuration thought leadership to organization
  • Ensure that all configuration documentation is prepared, reviewed, and approved
  • Create effective written and oral communication materials that summarize findings and support fact based recommendations 
  • Maintain work papers, project deliverables and other artifacts that can be recreated and leveraged as intellectual capital
  • Perform project management duties including the creation of status reports, work plans and presentations to client leadership
  • Define, develop and document business requirements to ensure clients' needs are captured and delivered
  • Direct quality assurance and user acceptance testing by writing test plans and managing the execution of testing
  • Develop financial models and tools, including cost-benefit analysis, resource utilization models and performance reports
  • Assess and recommend vendor products to client leadership

Required Qualifications:

  • 3+ years of working around claims implementation and analysis and/or claims configuration experience in anyone of these areas: Provider/Provider Contracting, Clinical Benefits, Enrollment and Billing
  • 3+ years of Healthcare experience
  • 2+ years of working in an advisory role for a Professional Management Consulting organization (preferably Big 4)
  • 2+ years of experience with the Systems Development Life-Cycle (SDLC
  • Ability to travel up to 80%, but location is flexible. Travel to the client site is necessary and would vary by project and location. (Typical travel schedule is to leave on Monday and come back late Thursday)

Preferred Qualifications:

  • Bachelor's Degree in a business or computer-related field

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

Diversity creates a healthier atmosphere: 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.

 

 

Job keywords: configuration, claims configuration, configuration analyst, claims implementation, IKA, QNXT, FACETS, Health Rules, telecommute, work from home, OptumConsulting, optuminsightconsulting

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