UHG

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:

Business Operations

Country:

United States

Postal Code:

55343

Approximate Salary:

Not Specified

Position Type:

Full Time

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Cirrus Benefit Senior Quality Analyst – Eden Prairie, MN or US Telecommute

UHG - Eden Prairie, Minnesota

Posted: 07/16/2018

We have an opportunity for a Senior Quality Analyst with experience in configuring and applying quality controls over benefits within a new business configurable system (similar to Facets, HealthRules or QNXT). In this role you will review complex benefits, claims, clinical and/or enrollment configuration changes, identify and perform root cause analysis of discrepancies, ensure day-to day issues are appropriately addressed, and provide QA reports and metrics.

This role is office based in Eden Prairie, MN. The role is also available to telecommuters in the US who are willing and able to travel to Minnesota 25% of the time for meetings and training.

Primary Responsibilities:

  • Conduct audits, including analyzing benefit, claim, clinical and/or enrollment data against source documents, and provide feedback to reduce errors and improve processes
  • Create and review reports to summarize quality results

  • Collaborate with configuration team to ensure configured benefits and enrollment efforts align with system deliveries and business processes

  • Recommend strategies to improve service development life cycle and governance processes

  • Understand and use enterprise service and data models



 

 

 

 

 

 

 

 

 

 

 


Required Qualifications
  • Bachelor’s degree or equivalent experience

  • 3 + years of Benefit, Claim and/or Enrollment quality assurance experience

  • 3+ years of healthcare and/or health insurance experience

  • 3+ years of experience identifying patterns within quantitative data, drawing conclusions and recommending solutions and approaches; skilled with end-to-end issue resolution

  • Intermediate level of proficiency with Microsoft Excel and Word

  • Non local applicants must be willing and able to travel to MN 25% of the time for meetings and training

  Preferred Qualifications
  • Benefit, Claim, Clinical and/or Enrollment configuration experience

  • Product, Benefit, Claim, Clinical and/or Enrollment research and analysis knowledge

  • Large-scale platform implementation or migration experience

  • Knowledge of data structures within a health plan configuration system (e.g. Facets)

  • Ability to clearly articulate (both verbal and written) project status and issues management

  • Agile and/or Six Sigma Green Belt training

  • Excellent oral and written communication skills, interpersonal skills and organizational abilities are essential

  • Ability to work effectively with minor supervision

  • 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

 

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

 


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: Quality, Facets, Benefits, Claims, Enrollment, healthcare, Eden Prairie, MN, Minnesota, telecommute

 

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