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UnitedHealth Group

UnitedHealth Group is looking for a PPS Technical Systems Analyst – Telecommute  #JobSearchEnginesNearPagosaSprings #NewJobNearPagosaSprings #AnalystJobsPagosaSprings

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm)Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Ensure successful installation, implementation, and configuration Apply analytical / quantitative approach to problem solving Obtain and use data, and comfortable with statistical concepts Utilize communication skills to influence and negotiate Utilize ones strong interpersonal skills to work with all levels of management across all functional areas, as well as, business partners through internal entities Work within client ticketing system to track escalated issues, input new issues or answer issues sent in by other teams Communicate any responses back to client Implement changes as needed and outlined in contract Work directly with Optum colleagues and customers to determine and document Client PPS payment system methodology education needs. Work directly with Optum colleagues and clients to determine and document Client requirements for Optum PPS product training Work directly with customers to define other project requirements, provide assistance to answer questions related to project results Assist as needed with other Reimbursement Solutions projects Engage with dedicated clients either VPN or Remote, WebEx to apply updates or Troubleshoot issues using documentation from Regulatory Support Optum Business Partners with questions around integration Compile Documentation: Processes and Procedures (including but not limited to Clients specific tracking, network configuration, rules of engagement)Youll 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: Bachelors degree or equivalent work experience 3+ years of experience working in a healthcare data or regulatory environment Basic knowledge and understanding of Prospective Payment Systems – includes DRG, APC, OCE, ESRD, CAH, CMG, RUG, RBRV Experience with EasyGroup, WebStrat and RateManager Experience pricing Medicare hospital facility claims (inpatient and outpatient) Experience breaking down information and developing solutions Healthplan experience in facility contract configuration, claims or IT Experience documenting client operational and technical workflow Experience configuring and customizing software solutions Some Facility claims reimbursement – Medicare, Medicaid, Commercial Exposure to healthcare claims data, basic PPS concepts, UB04 and HCFA 1500 claim content Experience with Microsoft Word, Excel, PowerPoint, Visio  Claims system knowledge – Trizetto Facets, Networx Pricer, QNXT, Health Rules Payer, IKA Claims, Burgess Systems, Epic Tapestry, 3M preferred If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attainedPreferred Qualifications: Experience working with Windows Server General understanding of user accounts & permissions Entry level knowledge of Databases & Microsoft SQL Server Experience supporting .NET or .NET Core Applications Experience with Microsoft Internet Information Services (IIS) High level understanding of RESTful Web Services and APIs Comfortable using PowerShell or Windows Command LineCareers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care 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)Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups 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.Job Keywords:  PPS Technical Systems Analyst, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote Recommended SkillsUser AccountsClaimsMedicareMedicaidWindows Power ShellInterpersonal SkillsRecommended JobsAnalystItSystems AnalystAtlanta,GaSystems Analyst, Atlanta,GaPPS Technical Systems Analyst – TelecommuteUnitedHealth GroupWork From HomeFull Time
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