Position Description: 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.Working in Operations at UnitedHealth Group is 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.As an Employer Installation Administrator; you would be responsible for working as part of the Configuration Team to implement the benefit structure for new or expanded Medicare and Medicaid state configuration. Primary focus of this role is to complete the development and loading of detailed benefit coverage for the FACETS software system which would include gathering information in regards to customer requirements, expectations for the project, and review or clarify any discrepancies. Attention to detail is vital as well as compliance with the project timelines and documentation requirements. If you have prior experience in working with the FACETS system, this is the opportunity to expand that knowledge while doing it from your home office, anywhere in the United States. As a telecommuter, this offers you the flexibility to perform your work without the hassle and expense of a daily office commute or extensive traveling. This position is a full-time non-exempt role (40 hours / week) with the expectation of a normal office schedule. Primary Responsibilities: Overall employer configuration loading using various databases and / or source documents Audit configuration loads for adherence to quality measures and reporting standards Research installation issues and develop customer specific resolutions Build, maintain, and audit benefits in CSP FACETS Analyze data Develop the appropriate benefit configuration for either an assigned portion or the entire benefits to detail coverage, benefit allowance, etc. Manage workload to meet customer deliverable dates Perform other duties as assigned
Required Qualifications: High School Diploma / GED (or higher) 2+ years of experience with FACETS configuration 3+ years of experience with professional and institutional claims2+ years of experience with another Healthcare Administration system Previous knowledge of health care benefit principles and medical terminology Intermediate level of experience with Microsoft Excel (formulas, edit, create spreadsheets, and VLOOKUP)Preferred Qualifications: Bachelor's Degree (or higher) Proficiency with Microsoft Word (edit, create document, create letters, attach files, and send)Physical Requirements and Work Environment: Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer An environment with moderate noise level due to Representatives talking, computers, printers, and floor activityCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV / AIDS and High-risk Pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life's best work.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: enrollment, claims, medical claims, healthcare claims, insurance claims, insurance contracts, office, UnitedHealth Group, UnitedHealthcare, customer service representative, customer service, CSR, Data Entry, phone support
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.