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Employer Installation Specialist
Employer Installation SpecialistUnitedHealth Group • Spring Valley, NV, United States
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Employer Installation Specialist

Employer Installation Specialist

UnitedHealth Group • Spring Valley, NV, United States
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This position is Onsite. Our office is located at 2720 N TENAYA WAY, LAS VEGAS, NV.

At UnitedHealthcare , we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Today, more and more employers are turning to us for innovative ideas and high levels of performance. Now, we invite you to help us welcome new members as you help install assigned accounts. You'll be responsible for overall employer contract loading using various databases and / or source documents. Along the way, you'll discover the training, resources and opportunities you'd expect from a Fortune 5 leader.

Positions in this function are responsible for the installation of assigned accounts, including, but not limited to structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials.  Positions are responsible for overall employer contract loading using various databases and / or source documents.  May research installation issues & develop customer specific resolutions.  May include auditing contract loads for adherence to quality measures and reporting standards.

This position is full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8 : 00am - 5 : 00pm, It may be necessary, given the business need, to work occasional overtime.

Training will be conducted on site during normal hours. The hours during training will be during your normally scheduled shift.

Primary Responsibilities :

  • Contribute to the success of customer implementation through active participation in meetings for new business wins
  • Prepare plan materials such as administrative documents and customer education materials
  • Perform structure building, revisions and billing set up
  • Research installation issues and develop customer specific resolutions
  • Audit contract loads for adherence to quality measures and reporting standards

This is a challenging role with serious impact. It's a fast paced, high-volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelines. Your accuracy will be vitally important and monitored carefully to ensure our system is correctly coded and that all plan documents are precise.

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
  • Must be 18 years of age or older
  • Experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents) and Microsoft Excel (ability to create, edit, save, and send documents)
  • 1+ year of experience in Facets agreement configuration
  • 1+ year of experience working with Medicaid or Commercial products
  • Familiarity with product structures, benefits, and regulatory requirements for either Medicaid or Commercial insurance lines
  • Ability to work full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8 : 00am - 5 : 00pm, It may be necessary, given the business need, to work occasional overtime. Our office is located at 2720 N TENAYA WAY, LAS VEGAS, NV
  • Preferred Qualifications :

  • Experience working with medical claims platforms
  • Experience with NetworX configuration or similar provider pricing tools
  • Experience working in a health plan or managed care environment
  • Experience in AI
  • Proficiency in SQL queries for data extraction, validation, and troubleshooting
  • Ability to analyze and interpret reports to support decision-making and identify trends or discrepancies
  • Analytical and problem-solving skills
  • Ability to collaborate cross-functionally with business and technical teams
  • Serve as primary Configuration subject matter expert
  • Soft Skills :

  • Demonstrated proficiency in configuring and maintaining Facets agreements within healthcare systems OR Contract Interpretation Skills
  • Proven ability to accurately interpret and translate contract language into system configuration and operational processes OR Claims Processing Knowledge
  • Solid understanding of medical and dental claims processing, including adjudication workflows and benefit application
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 - $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    #RPO #RED

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    Installation Specialist • Spring Valley, NV, United States

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