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UnitedHealthcare · 4 days ago
Benefit Design Configuration Analyst
Dallas, TX
Full-time
Remote
Mid Level
$28.03/hr - $54.95/hr
3+ years exp
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Insider Connection @UnitedHealthcare
Responsibilities
Execute the build and implementation of benefit plan adjudication rules
Coordinate the integration or conversion of new clients and / or products as needed, often under aggressive timelines
Participate in the development and implementation of an enterprise claim platform, providing subject matter expertise on the system configuration and usability components
Align operational needs with technology requirements
Develop best practices and standard operational procedures for creating and configuring benefit plans
Establish consistency and standardization as it relates to tools and processes (deliverable templates, change management processes, business models, process flows, etc.)
Curate a robust testing suite that is representative of all coverage to better quantify the impact of introducing configuration changes.
Ability to execute testing to ensure the accurate configuration of business requirement
Analyze issues / defects and debug the system when configuration is not producing the expected results
Partner with claim processors, member service and provider service to identify and resolve issues related to the plan configuration
Perform other duties as assigned
Qualification
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Required
High School Diploma / GED OR equivalent work experience
3+ years of business / operations experience in a health plan environment
3+ years of experience with ICD - 10, CPT, HCPCS, revenue codes, and medical terminology
3+ years of experience in a healthcare environment with HIPAA, ERISA, and ACA requirements
3+ years of experience with using Microsoft Excel and SQL (creating, editing, and saving worksheets)
Experience with the plan build / plan configuration of claim adjudication platform
Experience with commercial health plan design
Experience with system mapping of configuration
Experience with AGILE project methodology (requirements, design, development, testing, and implementation), inclusive of Scrum and Kanban
Ability to work any shift between the hours of 8:00 AM - 5:00 PM CST from Monday - Friday including some flexibility based on business need
Must be 18 years of age OR older
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience. It is a sub-organization of UnitedHealth Group.
10,001+ employees
H1B Sponsorship
UnitedHealthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2023 (35)
2022 (56)
2021 (65)
2020 (61)
Funding
Current Stage
Late StageLeadership Team
Mike Dawson
VP, Product and Innovation at UnitedHealthcare Community & State
R
Rebecca Madsen
Chief Consumer Officer
Recent News
2024-06-04
2024-05-31
Company data provided by crunchbase
