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Facets Provider Configuration Analyst - Telecommute

Company: UnitedHealth Group
Location: San Antonio
Posted on: November 26, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)



You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.



Primary Responsibilities:


  • Configure a variety of Provider Contracts within Facets System
  • Demonstrate understanding of applicable systems/platforms (e.g., Facets; NetworX; Access; Excel)
  • Demonstrate understanding of on-line communication tools (e.g., SharePoint; Outlook; Teams/Personal Communicator)
  • Demonstrate understanding of relevant health-care programs (e.g., Medicaid; Medicare; DSNP; CHP+; Individual/Family Commercial)
  • Demonstrate understanding of and/or ensure compliance with internal policies and procedures
  • Utilize knowledge of provider contracts and supporting documents to gather details to create/update NetworX Configuration
  • Demonstrate and maintain understanding of policies, regulations, and operations of internal and/or external business partners
  • Represent Provider/Contract configuration in business partner meetings as a SME to research and respond to action items
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Research claims issues to determine configuration issue(s), update configuration
  • Use existing procedures and facts to solve routine problems or conduct routine analyses
  • Perform other duties as assigned




    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
    Required Qualifications:


    • 2+ years of experience with configuration for provider contract and/or benefit product
    • 2+ years of healthcare billing/coding knowledge
    • 2+ years of health payer experience with handing provider billing/co-payments/co-insurance
    • Intermediate to Expert Proficiency with Microsoft Excel SQL and Access Query (ability to create spreadsheets, v-lookups, pivot tables, sort, write queries, input/output and create macros)
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation




      Preferred Qualifications:


      • Undergraduate -degree (or higher)
      • 2+ years of health payer experience with variety of provider contracts pricing methodologies
      • 2+ years of experience working with Facets database tables and configuration
      • 2+ years of health payer experience resolving claims issues
      • Certified Professional Coder Licensure
      • Ability to multi-task
      • Excellent oral and written communication skills
      • Experience working in a fast paced, dynamic, rapidly changing environment
      • Solid aptitude for working in production driven environment




        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.



        Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)



        *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.



        Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $26.15 to $46.63. The hourly range for Connecticut/Nevada residents is $28.85 to $51.30. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.





        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. - -

Keywords: UnitedHealth Group, San Antonio , Facets Provider Configuration Analyst - Telecommute, Professions , San Antonio, Texas

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