Benefit Integrity Accuracy And Governance Process Consultant - Telecommute

Unitedhealth Group Inc. Eden Prairie , MN 55344

Posted 2 months ago

You're looking to be inspired and you thrive on exceeding goals. We're looking to make a difference. At UnitedHealth Group, we're on a mission to help people live healthier lives and we're looking for ways to drive innovation.

The Behavioral Solutions Benefits Accuracy, Integrity, and Governance Office is currently seeking a Benefit Process Consultant to drive and deliver on small and large-scale benefit initiatives across various functional areas and/or organizations to ensure that Optum successfully deliver products and benefits for our customers.

As a Benefit Process Consultant, you'll work to not only challenge the status quo, but change it - making things better than you found them. You'll roll up your sleeves as you coordinate and drive forward both small and large, complex projects in an ever changing regulatory environment to successful completion. You'll be a subject matter expert in behavioral and partner with business and project owners to help define project scope, identify and mitigate risk, deliver on challenging time frames. You'll take on tough challenges and have a hand in creating innovative solutions. This is no small opportunity.

This is an exciting role in which the individual will have an opportunity to directly partner with individuals at all levels of leadership to drive and deliver on initiatives aimed benefits integrity, accuracy and governance. This is your opportunity to grow and develop at a pace that energizes your career. Now is your time to do your life's best work. This role demands it.

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

Primary Responsibilities:

  • Responsible for the ensuring Benefits Integrity, Accuracy, and Governance with a focus on the behavioral health products that are delivered in our both our Medicaid and Independent Health plan line of business

  • Manage expectations and needs of cross-functional team members who do not report to you in a geographically dispersed and highly-matrixed workforce

  • Function in a multi-project environment with changing priorities

  • Understand regulatory implementation process and how it impacts benefits and operations deliver in each state including state mandates and Federal Mental Health Parity think strategically and deliver tactically

  • Coordinate and drive management of small and large-scale, complex benefit projects in the context of key business objectives

  • Lead or contribute to defining operational impacts and developing project scope documents with applicable stakeholders when appropriate

  • Work with business leaders, process owners, customers and regulatory management in the planning of upcoming mandates that impact benefits in each state and ensure source of truth documents are kept up to date and repeatable streamlined process is followed to achieve long term quality

  • Effectively communicate/disseminate critical information to multiple audiences, ensuring that the message is audience-appropriate

  • Consult with appropriate resources to translate highly-complex mandatory requirements into business requirements that can be understood by a variety of audiences and used to create solutions that lead to the successful implementation of mandated benefits, standard benefit plan designs, or customized benefits packages for Medicaid customers

  • Help cross functional teams to identify simple and elegant solutions to complex requests and problems

  • Act as a consultant to our internal and external customers to help them understand and make decisions about benefit structure to help ensure compliance to contractual and state mandated benefits and specific offers that may be unique within that state

  • Participate in Financial discussions, as appropriate

  • Candidate must have experience and proven ability to drive translation of often-conceptual business requirements into well-defined and concrete operational requirements and to assess and involve impacted areas as required

  • Candidate must solicit, help business define, and then help them act on deliverables that constitute success. Candidate must be a thought partner to cross functional business owners which will enable them to deliver successful implementations or changes to benefit plans with on time delivery and clear closure

Required Qualifications:

  • Bachelor s degree in a business field in health care administration, compliance, regulatory and/or equivalent combination of related experience

  • Proven success in coordinating large, complex, cross-company initiatives involving functional work teams across organizational boundaries. Four to Five years of experience working on such projects

  • Strong analytical skills and use of pertinent data and facts to identify and solve a range of problems within the business

  • Excellent communication skills express ideas and information in writing and orally to individuals and groups, including leadership

  • Demonstrated ability to communicate ideas clearly and concisely to leadership

  • Intermediate level of proficiency with Excel, Word, Visio, PowerPoint and SharePoint

  • Demonstrated ability to prioritize and balance multiple priorities and projects

  • Excellent organizational skills with a demonstrated ability to plan, organize, and execute independently

  • Ability to build collaborative working relationships with business partners and customers; personal influencing skills

  • Innovative problem solving, planning, and strategizing - ability to gain acceptance for ideas, plans and actions

Preferred Qualifications:

  • Benefit expertise and knowledge of health care regulatory mandates, particularly those impacting behavioral health and the administration of benefits

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)

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

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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