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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:

Business Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

Associate Director, Benefit Business Analysis – Eden Prairie, MN

UHG - Eden Prairie, Minnesota

Posted: 12/10/2018

We have an opportunity for an Associate Director, Benefit Business Analysis to develop and lead benefit configuration activities for a new business configurable system (similar to Facets, HealthRules or QNXT).  In this role you will be leading teams in the analysis, design, build and validation of complex benefits.  Duties include defining requirements for new business partners, establishing priorities, leading complex design efforts, working with business and IT partners, outlining new processes, resolving configuration errors, and providing status reports. 
This role is office based in Eden Prairie, MN.  Telecommuters will not be considered.
Primary Responsibilities:
  • Analysis & Design
    • Lead requirements gathering, service-oriented modeling, analysis and design activities
    • Represent Benefit Configuration team by reviewing features and user stories, providing feedback to IT and business partners, prioritizing requests, and guiding teams through implementation of new Benefit capabilities
    • Design benefit and claim processing data, validate configuration, and review the work of less experienced team members
    • Communicate design to executive stakeholders and business partners
    • Present and evaluate design solutions objectively and facilitate conflict resolution
    • Provide configuration thought leadership to organization
  • Configuration Build & Maintenance
    • Configure new business, including products/benefits, claim rules, or clinical edits within a health care administration system (e.g. Facets)
    • Develop detailed source-to-target data mapping and data transformation rules
    • Establish performance expectations, metrics and reporting
  • Configuration Quality Assurance
    • Lead internal quality efforts and participate in testing within health care administration system (e.g. Facets) to ensure configuration is ready for implementation
    • Provide input to, and collaborate with, Quality, Risk & Controls team to ensure efforts align with system deliveries and business processes
    • Develop and implement strategies to improve service development life cycle and governance processes
    • Establish metrics and monitor progress against expectations

Required Qualifications:
  • Bachelor’s degree or equivalent experience
  • 7+ years of health care and/or health insurance experience
  • 7+ years Benefit, Claim, or Clinical analysis, design and build experience, and/or IT configuration or system analysis experience
  • 5+ years of staff supervision, team or process lead experience
  • 3+ years of prior experience driving and executing in a cross-functional organization
  • 3+ years of experience that includes solving various problems that impact the business; drawing conclusions and recommending solutions and approaches
  • Intermediate or greater level of proficiency with Microsoft Excel and Word

Preferred Qualifications:

  • Agile or Six Sigma Green Belt or Black Belt training
    Benefit, Claim or Clinical research and analysis knowledge
  • Large-scale platform implementation or migration experience
  • Experience in metrics-based monitoring in both individual and team performance
  • Knowledge of data structures within a health care administration system (e.g. Facets)
  • Excellent oral and written communication skills, interpersonal skills and organizational abilities
  • Ability to work effectively with minor supervision
  • Ability to clearly articulate (both verbal and written) project status and issues management
  • Ability to interact effectively with other areas of the organization 
  • Ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlines
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

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.
Job Keywords: Benefit, Claim, Clinical, Configuration, Facets, Benefit Configuration, HealthRules, QNXT, Eden Prairie, MN, Minnesota

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