Benefit Configuration Supervisor - Ontario, CA

Unitedhealth Group Inc. Ontario , CA 91761

Posted 2 days ago

Is there a better way to provide access to the health care system? You know the answer and you probably have a dozen ideas on how to drive improvement. And that may be precisely why you belong on the UnitedHealth Group team. We're doing everything we can do ensure that patients and their families are best served by the emerging provider networks that we build. Join us in this role and you'll help hire, train, develop and lead a Provider Contract Installation team. You'll help ensure accurate loading, which includes setting up plan structure and billing, eligibility collection and database loading. Along the way, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

The Benefit Configuration Supervisor is responsible for managing updates in the claims administration software. This includes complex health plan contracts and member health plan benefit interpretation and system configuration. Responsibilities may also include auditing system configurations for adherence to quality measurers and reporting standards.

Primary Responsibilities:

  • Measure work against established metrics and ensure effective processes

  • Establish and communicate team priorities

  • Identify and resolve operational and workflow problems

  • Identify and implement process improvements to ensure effective and efficient processing of work

  • Lead projects as necessary or assigned

The team you lead needs to stay on top of the requests for ongoing updates and corrections. This is an intense, focused business where we need to attest to information every quarter. Also, this is a complex matrixed environment leading across different teams

Required Qualifications:

  • High school diploma or equivalent

  • 5 years of experience in claims processing, interpretation of health plan contracts (including risk arrangements) and member benefits

  • 2 years' experience with claims processing systems such as Xcelys

  • 2 years' experience in a role auditing or managing work quality including project work

  • Intermediate level of proficiency in Microsoft programs including Excel, Access, PowerPoint, Word, etc

  • 3 years' experience with medical coding (HCPCs, CPT-4, Revenue, DRG, ICD-9, etc.)

  • 3 years claims processing or resolution experience

Preferred Qualifications:

  • Supervisory experience in a large corporate setting

  • Experience training others on core job functions

  • Ability to manage multiple projects concurrently, while maintaining a high level of quality and commitment to project timeframes

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: 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: healthcare, health care, medical, benefits, benefit configuration, claims, health plan, contracts, loading, auditing, reporting, supervisor, lead, manager, NAMM, Ontario, California, CA


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Benefit Configuration Supervisor - Ontario, CA

Unitedhealth Group Inc.