Easter Seals Jobs

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

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full time. Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 8 weeks of paid training. The hours during training will be 8am - 4:30pm CST , Monday - Friday.  * *Training will be conducted virtually from your home.

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

Primary Responsibilities:

• Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements

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

• Design, configure and build various product / benefit components in Facets with emphasis on BPA

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

• Audit configuration against benefit plan requirements / EOC, etc, verify configuration following source documentation

• Acts as a SME to other team members to answer questions and coaches on opportunities

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

• Represent benefit configuration in business partner meetings as a SME to research and respond to action items

• Facilitate meetings to partner with others on issue resolution and problem solving including follow up on action items as needed

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:

• High School Diploma / GED

• 3+ years experience working with Medicare and/or Commercial plan benefit configuration, claims issue resolution or other areas of Facets configuration

• 3+ years experience working with Facets database tables and configuration

• 2+ years experience working with Facets BPA and/or Workflow

• Experience with Windows based programs includingMicrosoft Word

• Microsoft Excel

• Microsoft Outlook.

• Computer proficiency including, but not limited to, ability to learn new computer system applications.

• Must be 18 years of age OR older

• Ability to work full time. Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• 2+ years health insurer experience with medical plan case installation or benefit plan building

• 2+ years health insurer experience handling billing/co-payments/co-insurance

• Understanding of claims Workflow routing, queues, and roles.

• Experience building and running SQL queries using tools such as MS Access, Query Builder, or similar

• Knowledge of supporting tools from Trizetto/Cognizant and other vendors such as CMU or similar applications

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $33.75 - $66.25 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: _ _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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