If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) We have an opportunity for a Configuration Consultant with experience in building and configuring benefit 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 benefits. 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 ResponsibilitiesConfiguration Analysis and DesignLead requirements gathering, service-oriented modeling, analysis and design activitiesEvaluate business requirements and prepare detailed functional and technical specificationsAnalyze benefit 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. Facets)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. Facets) 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 experienceFive (5) + years Benefit, Claim and/or Enrollment configuration experienceFive (5) + years healthcare and/or health insurance experienceThree (3) + years of staff supervision, team or process lead experience Three (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 WordAbility to interact effectively with other areas of the organization Ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlinesNon local applicants must be willing and able to travel to MN up to 25% of the time for meetings and training Preferred Qualifications:Product, Benefit, Claim and/or Enrollment research and analysis knowledgeExperience 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 managementSix Sigma Green Belt or Black Belt training a plus 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.
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.