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Senior Cirrus Claims and Clinical Configuration Consultant - Telecommute

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
11/23/2017
2017-11-232017-12-22
Job Code:
740202
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Job Details

740202 Senior Cirrus Claims and Clinical Configuration Consultant Telecommute

Senior Cirrus Claims and Clinical Configuration Consultant - Telecommute (740202)

Position Description

We have an opportunity for a Senior Configuration Consultant with experience in building and configuring provider requirements within a new business configurable system (similar to Facets, HealthRules or QNXT).  In this role you will be leading the analysis, design, build and validation of complex provider contracts and pricing.  Duties include working with business and IT partners to understand requirements, develop innovative solutions, oversee quality assurance activities, outline new processes, and troubleshoot and resolve configuration errors. 
 
This role is office-based in Eden Prairie, MN. The role is available to telecommuters willing and able to travel Minnesota, generally 25% time, for training and meetings.
 
Primary Responsibilities:
  • Configuration Analysis and Design
    • Lead requirements gathering, service-oriented modeling, analysis and design activities
    • Evaluate business requirements and prepare detailed functional and technical specifications
    • Analyze provider contracts and pricing and claim requirements, design/configure benefit and claim processing data, validate configuration, and lead configuration peer review
    • Communicate design to all stakeholders at 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
    • Provide configuration thought leadership to organization
  • Configuration Build & Maintenance
    • Configure new business, including products / benefits, enrollment, claims and/or capitation, within a health plan configuration system (e.g. Cirrus)
    • Develop detailed source-to-target data mapping and data transformation rules
  • Configuration Quality Assurance
    • Lead quality assurance and participate in testing within health plan configuration system (e.g. Cirrus) 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
Required Qualifications:
  • Bachelor’s degree or equivalent experience
  • 5+ years Benefit, Claim and/or Enrollment configuration experience
  • 5+ years healthcare and/or health insurance experience
  • 3+ years of staff supervision, team or process lead experience
  • 3+ 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
  • Non local applicants must be willing and able to travel to MN 25% of the time for meetings and training
Preferred Qualifications:
  • Product, Benefit, Claim and/or Enrollment research and analysis knowledge
  • Large-scale platform implementation or migration experience
  • Experience in metrics-based monitoring in both individual and team performance
  • Excellent oral and written communication skills, interpersonal skills and organizational abilities are essential
  • Ability to work effectively with minor supervision
  • Knowledge of data structures within a health plan configuration system (e.g. Facets)
  • Ability to clearly articulate (both verbal and written) project status and issues management
  • Ability to interact effectively with other areas of the organization 
  • Ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlines
  • Six Sigma Green Belt or Black Belt training a plus
UnitedHealth Group is a Fortune 6 company with all the resources you’d expect from the largest networks of physicians, hospitals, health facilities and caregivers in the United States and more than 125 other countries. Join us and be inspired to 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: Senior Consultant, Cirrus Benefit Configuration, Minnetonka, MN, Minnesota, Eden Prairie, provider contract, pricing, healthcare, Analyst, Configuration

Job Details

  • Contest Number740202
  • Job TitleSenior Cirrus Claims and Clinical Configuration Consultant - Telecommute
  • Job FamilyBusiness Operations
  • Business SegmentUHC Benefit Ops - EandI Ops

Job Location Information

  • Eden Prairie, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionYes
  • Overtime StatusExempt

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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