UnitedHealth Group · 2 days ago

Senior Workflow Analyst

Dallas, TX

Full-time

Remote

Senior Level

$33.75/hr - $66.25/hr

3+ years exp

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Responsibilities

Configure PCA and the Workflow tool in Facets

Collaborate with claims department and configuration teams to understand auto adjudication and other claim requirements

Collaborate with stakeholders to gather, assess, interpret, and document customer needs and requirements

Work with local markets and claims team to resolve configuration issues

Partner with documentation specialist to assist with job aide / SOP content related to workflow configuration processes

Identify and analyze pending claims and provide recommendations to increase auto - adjudication opportunities

Research claims issues to determine configuration gaps, update configuration as applicable

Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance

Qualification

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Facets Workflow ConfigurationMicrosoft ExcelRoot Cause AnalysisData AnalysisProcess ImprovementCommunicationProblem-SolvingTime ManagementBusiness AnalysisMedicare KnowledgeFacets Benefit Configuration

Required

High School Diploma / GED

Must be 18 years of age OR older

3+ years of experience with configuring Facets Workflow

Intermediate proficiency in Microsoft Excel

Communication skills related to presenting ideas and issues and taking next step actions

Experience with coordinating root cause analysis on internal and external data and processes to answer specific business questions and identify opportunities for improvement

Ability to work any shift between the hours of 8:00 AM - 5:00 PM local time from Monday - Friday