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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:

Claims

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Facets Configuration Analyst - Las Vegas, NV

UHG - Las Vegas, Nevada

Posted: 11/15/2018

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

In this position, you would be responsible for defining and configuring various aspects in Facets required to accurately administer benefit and provider pricing.


Primary Responsibilities:

  • Analyze products, contracts and pricing, design / configure claim rules and clinical rules, conduct configuration validation, and perform configuration peer review
  • Evaluate business requirements and determine global design


Requirements:
  • High School Diploma / GED or higher
  • Ability to work Monday - Friday 8am - 5pm
  • Institutional and Professional Claims processing experience
  • 1+ years of system configuration experience OR facets Claims experience at a health plan or delegated entity
Assets:
  • 3+ years of facets configuration experience
  • Coding experience in one or more of the following: CPT, HCPCS, ICD9 / ICD10, Revenue, DRG or other relevant medical and industry-standard codes
  • Knowledge of supporting tools from Trizetto and other vendors such as CMU, EncodePro etc.
  • Knowledge of Medicare Pricing
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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


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.


Keywords: facets, analyze, process, claims, configuration, coding, medicare

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