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Senior Billing and Enrollment Systems/Solutions Analyst (TRICARE

Company: UnitedHealth Group

Location: Minneapolis, MN

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Job Description

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. UnitedHealth Group has submitted a proposal in response to the TriCare Managed Care Support Contract Solicitation (also known as the "T-3 Solicitation").  TriCare is the health care program serving active duty service members, National Guard and Reserve members, retirees, their families, survivors and certain former spouses.
 
As a potential government contractor, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF85P. 
 
UnitedHealth Military & Veterans Services is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
 
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the south. 
 
Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever.  Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions. 
 
It's not just business as usual.  It is one of our proudest endeavors. 
 
If you're ready to help make health care work better for those who serve our nation.  If you are smart, creative, and committed.  If you want to make a difference.  Consider being part of the elite team at UnitedHealth Military & Veterans Services.
 
Senior Billing And Enrollment Systems/Solutions Analyst - Minneapolis, MN or Tampa, FL
 

 Primary Responsibilities:

  • Accountable as a key liaison between Customer Service subject matter experts and IT partners in defining system requirements for TRICARE program specific initiatives to address the unique needs of the TRICARE beneficiary membership. Systems/Solutions focus includes the processes of billing, enrollment, telecom/IVR, call center desktop tools, appeals and grievances and correspondence.
  • Identifies gaps related to new and/or existing Customer Service products, services and workflows based on broad view of the project, projected workflows, and organization, and recommends enhancements where necessary based on TRICARE specific needs.
  • Collaborates and partners with other functional managers, other business areas across and within segments or other business areas to ensure all workflow processes and interdependencies are identified and addressed.
  • Consults with constituents (these may be internal and/or external) to scope and define project.
  • Assist business in designing  systems configuration to support customer service program workflows and outcomes reporting.
  • Organizes meetings and manages resources to support end user learning and testing activities.
  • Monitor system performance and act as liaison with IT and business teams to ensure resolution of defects and problems
  • Ensures that a viable deployment plan is in place, and oversees system deployment.
  • Ensures the TRICARE business objective(s), all deliverables, and due dates are
This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.


Job Requirements

Qualifications:

  • 2+ yrs of Project Management experience
  • 2+ yrs familiarity with Customer Service Operations and/or Billing and Enrollment Operations
  • 2+ yrs familiarity with systems solutions
 Assets:
  • Programming Knowledge
  • Management experience
  • Microsoft Office Bundle experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
 
UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment.  In addition, employees in certain positions are subject to random drug testings.

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