No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system integration and claims configuration activities for a core claims administrative systems such as (IKA, QNXT, FACETS, Health Rules, etc.) based on expertise in one or more functional areas (e.g., Product, Provider, Member, Finance) Primary Responsibilities:Lead system and/or configuration design activities including direct management of project team members Participate in design sessions Participate in test development and execution activities Provide configuration thought leadership to organization Ensure that all configuration documentation is prepared, reviewed, and approved Create effective written and oral communication materials that summarize findings and support fact based recommendations Maintain work papers, project deliverables and other artifacts that can be recreated and leveraged as intellectual capital Perform project management duties including the creation of status reports, work plans and presentations to client leadership Define, develop and document business requirements to ensure clients' needs are captured and delivered Direct quality assurance and user acceptance testing by writing test plans and managing the execution of testing Develop financial models and tools, including cost-benefit analysis, resource utilization models and performance reports Assess and recommend vendor products to client leadership
Required Qualifications: 3+ years of working around claims implementation and analysis and/or claims configuration experience in anyone of these areas: Provider/Provider Contracting, Clinical Benefits, Enrollment and Billing 3+ years of Healthcare experience 2+ years of working in a Professional Consulting organization 2+ years of experience with the Systems Development Life-Cycle (SDLC Ability to travel up to 80%, but location is flexible. Travel to the client site is necessary and would vary by project and location. (Typical travel schedule is to leave on Monday and come back late Thursday) Preferred Qualifications:Bachelor's Degree in a business or computer-related field Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: 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: configuration, claims configuration, configuration analyst, claims implementation, IKA, QNXT, FACETS, Health Rules, telecommute, work from home, OptumConsulting
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.