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Hours Full-time, Part-time
Location Minnetonka, MN
Minnetonka, Minnesota

About this job


We have an opportunity for a Claims Configuration Analyst with experience in building and configuring Products within a new business configurable system (similar to Facets).  In this role you will design, build, and validate across functional areas. You will support complex system configuration changes and new configuration requirements, including configuration analysis, design, build and testing. Duties include troubleshooting and fixing system configuration errors, performing investigations and root cause analysis of trouble tickets, and ensuring day to day issues are identified and appropriately addressed. This role is office based in Minnetonka, MN.
 
Primary Responsibilities

Configuration Design

Analyzes provider contracts / pricing, designs / configures provider agreements, configuration validation, configuration peer review
Communicate design to all stakeholders and varying levels of the organization
Present and evaluate design solutions objectively and facilitate conflict resolution
Define, use and communicate design patterns and best practices in service oriented analysis, design and development
Configuration Build & Maintenance

Configuration of new business within a health plan configuration system (e.g. Facets)
Configuration of claims, providers agreements, fee schedules, and capitation within health plan configuration system (e.g. Facets)
Configuration Quality Assurance

Quality assurance and testing within health plan configuration system (e.g. Facets)to ensure configuration is ready for implementation
Collaborate with quality assurance team to ensure testing efforts align with system deliveries and business processes
Develop strategies to improve service development life cycle and governance processes
Develop and use enterprise service and data models Quality assurance and testing

Requirements


Required Qualifications:

Two (2) + years configuration experience working in a business configurable system
Two (2) + 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 Word
Excellent oral and written communication skills, interpersonal skills and organizational abilities are essential
Ability to work effectively with minor supervision
Ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlines
Preferred Qualifications:

Bachelor’s Degree in Business Administration or related area preferred
Claims Configuration experience
Claims or Benefit Plans Analysis knowledge
Provider (Contract and Pricing) Configuration experience
Provider Pricing Analysis knowledge
Ability to provide analysis, problem solving, and interpret application configuration
Good knowledge of data structures within a health plan configuration system
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
 
 
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:  claims, configuration, analyst, analysis, UHG, Optum, UnitedHealth, Minnetonka, Eden Prairie, Minnesota, benefit plans, claims configuration, business analyst