We have an opportunity for a Senior Configuration Consultant with experience in building and configuring provider requirements within a new business configurable system (similar to Facets, HealthRules or QNXT). In this role you will be leading the analysis, design, build and validation of complex provider contracts and pricing. Duties include working with business and IT partners to understand requirements, develop innovative solutions, oversee quality assurance activities, outline new processes, and troubleshoot and resolve configuration errors. This role is office-based in Eden Prairie, MN. The role is available to telecommuters willing and able to travel Minnesota, generally 25% time, for training and meetings. Primary Responsibilities:Configuration Analysis and DesignLead requirements gathering, service-oriented modeling, analysis and design activitiesEvaluate business requirements and prepare detailed functional and technical specificationsAnalyze provider contracts and pricing and claim requirements, design/configure benefit and claim processing data, validate configuration, and lead configuration peer reviewCommunicate design to all stakeholders at varying levels of the organizationPresent and evaluate design solutions objectively and facilitate conflict resolutionDefine, use and communicate design patterns and best practices in service oriented analysis, design and developmentProvide configuration thought leadership to organizationConfiguration Build & MaintenanceConfigure new business, including products / benefits, enrollment, claims and/or capitation, within a health plan configuration system (e.g. Cirrus)Develop detailed source-to-target data mapping and data transformation rulesConfiguration Quality AssuranceLead quality assurance and participate in testing within health plan configuration system (e.g. Cirrus) to ensure configuration is ready for implementationCollaborate with quality assurance team to ensure testing efforts align with system deliveries and business processesDevelop strategies to improve service development life cycle and governance processesDevelop and use enterprise service and data models
Required Qualifications: Bachelor's degree or equivalent experience5+ years Benefit, Claim and/or Enrollment configuration experience5+ years healthcare and/or health insurance experience3+ years of staff supervision, team or process lead 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 or greater level of proficiency with Microsoft Excel and WordNon local applicants must be willing and able to travel to MN 25% of the time for meetings and trainingPreferred Qualifications:Product, Benefit, Claim and/or Enrollment research and analysis knowledgeLarge-scale platform implementation or migration experienceExperience in metrics-based monitoring in both individual and team performanceExcellent oral and written communication skills, interpersonal skills and organizational abilities are essential Ability to work effectively with minor supervision 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 managementAbility to interact effectively with other areas of the organization Ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlinesSix Sigma Green Belt or Black Belt training a plusUnitedHealth Group is a Fortune 6 company with all the resources you'd expect from the largest networks of physicians, hospitals, health facilities and caregivers in the United States and more than 125 other countries. Join us and be inspired 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. Job Keywords: Senior Consultant, Cirrus Benefit Configuration, Minnetonka, MN, Minnesota, Eden Prairie, provider contract, pricing, healthcare, Analyst, Configuration
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.