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iCES Rule Developer - US Telecommute

UnitedHealth Group

Minneapolis, MN
Job Code:
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Job Details

iCES Rule Developer - US Telecommute(Job Number:718138)

Position Description:
Energize your career with one of Healthcare’s fastest growing companies.  
You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Is it important to you to create an application that will benefit millions of people? At Optum, you are empowered to do your best! You will work with an elite team to create applications using the newest and latest technologies. If you have a solid track record for innovation and accomplishment, we are eager to speak with you! We hire talented coding professionals who are looking to advance their careers by working for the best company in the healthcare industry. You will have the most opportunities to grow and develop your career while using the skills that you have obtained thus far. Being a leader in healthcare IT, it is always challenging and exciting here at Optum in creating the healthcare system of tomorrow. Join us and start doing your life's best work.
UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 16 million people who receive our unique blend of packages and programs. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
Positions in this function are predominantly involved in developing business solutions by creating new and modifying existing software applications. Primary contributor in designing, coding, testing, debugging, documenting and supporting all types of applications consistent with established specifications and business requirements to deliver business value. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.
As an iCES Rule Developer, the successful candidate will assist in the iCES Clearinghouse Rules Creation development process.
Primary Responsibilities:
  • Build and implement simple to complex claim editing logic in support of internal payment policies.
  • Act as a thought leader / SME in the design and implementation of claim editing logic by: being able to identify gaps in logic or business requests, being able to work speak with authority on current claim editing logic, and being able to develop architecturally sound editing rules for complex business requests.
  • Documenting of customer business processes, workflows and requirements as they relate to the issues identified by a development initiative.
  • Define and document business and system processes as determined by UHC.
  • Define, document, and communicate system requirements, as related to iCES Clearinghouse custom rule development for UHC.
  • Prioritize and manage business requirements in an effort to minimize scope issues.
  • Assure appropriate unit testing coverage.
  • Review and contribute to overall QC / QA of test plans.
  • Participate in project teams with the customer(s) to assure high quality through management of ongoing processes.
  • Assist in troubleshooting of technical issues as identified.
  • Reviews the work of others.
  • Develops innovative approaches.
  • Sought out as expert.
  • Serves as a leader / mentor.

Job Applications Development
Primary Location US-MN-Minneapolis
Other Location US-FL-Tampa, US-TX-Dallas, US-CT-Hartford, US-AZ-Phoenix
Organization OI Payment Integrity
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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