6 days old

Government Support Services Consultant - Eden Prairie, MN or Telecommute

Eden Prairie, MN 55344 Work Remotely
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  • Job Code
    893680

No industry is moving faster than health care. And no organization is better positioned to lead health care forward.  We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)

 

The health care markets are evolving in many different ways and the role and impact of the Medicaid is becoming increasingly important as health plans and providers look for new ways to grow and manage risk. In particular, the ability to manage medical cost through care management interventions or network management strategies is critical to the success of these organizations.

 

Optum is seeking a Government Support Services Consultant to provide Business Analysis expertise in the Government Payor markets. This position is responsible for the business analysis and operations consulting in all areas of Medicare Advantage, ACA and Medicaid products including LTSS, HCBS, Duals Population, Complex Care, Population Health, and provider sponsored organizations taking on risk for some of the most complex populations.

 

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

 

Primary Responsibilities:

  • Responsible for gathering and documenting business requirements, solution, design and testing of Claims, Eligibility and/or Care Management Applications
  • Documents and provides recommended business operational workflow
  • Provides subject matter expertise in more than one of the following capabilities: Membership, Provider, Claims, Finance and/or Clinical domains
  • Provide insight to clients around the CMS and state specific regulations, guidelines and policies around waiver programs and requirements
  • Consults and engages with clients to resolve issues and presents options for resolution
  • Define market needs and gaps to current capabilities
  • Engages with other consultants to develop strategies, process and workflow to support the client needs
  • Ensures the requirements and deliverables meet the client needs and provides recommended solutions through business traceability matrices
  • Creates relationships and delivers value to clients and business stakeholders
  • Engages with the Business Solutions Architecture Teams to define application and technical solutions
  • Escalates issues to business partners and leadership
  • Supports program communication plan and execution
  • Ensures quality assurance methods are implemented within programs
  • Provide status updates and review of programs to senior leadership
  • Establish trusted client relationships to expand the Payer Consulting footprint at designated clients
  • Participates in a team oriented work climate that enables professional development and encourages creative solutions and strategies
  • Participates in Community of Practice leadership forums
  • Ensures utilization rates are attained annually
  • Obtains high client satisfaction scores (>90%) 

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. 

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Posted: 2020-10-14 Expires: 2020-11-13

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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Government Support Services Consultant - Eden Prairie, MN or Telecommute

UnitedHealth Group
Eden Prairie, MN 55344

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