Capability Manager - Remote
Company: UnitedHealth Group
Location: Minnetonka
Posted on: April 10, 2025
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
You'll enjoy the flexibility to work remotely * from anywhere
within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Support Provider Pricing Configuration within Facets with an
emphasis on Capitation setup and relationships
Participate in system conversions, acting as lead to gather and
deliver business requirements, ensuring internal team collaboration
to meet project deadlines
Collaborate with Pricing Configuration to identify and define
quality improvement requirements to ensure flawless pricing
execution
Promote understanding of provider reimbursement and system
architecture to drive cross functional team collaboration
Gather and document technical configuration requirements
Participate in new market implementation and system conversions to
provide business feedback and requirements
Perform user acceptance testing and operational readiness for all
new programs and program enhancements, ensuring all end-to-end
operational impacts assessed, requirements defined, operations
documentation completed (e.g., process flows, policies, and
procedures), communications delivered, and ongoing operations
support established
Provide thought leadership in identifying and defining ongoing
incremental opportunities
Evaluate and continually improve processes to achieve goals that
drive best in class pricing outcomes and financial results
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:
4+ years of supporting Provider Pricing Configuration with an
emphasis on configuring Capitation relationships
Experience working with Medicare, Medicaid or Commercial
products
Experience performing and documenting User Acceptance Test
results
Facets Pricing experience in provider pricing configuration
role
Facets / NetworX Pricing experience, preferably in provider pricing
configuration role
Solid knowledge of business end-to-end processes that impact
physician/facility/ancillary reimbursement, contract loading and/or
auditing
Preferred Qualifications:
2+ years of Facets capitation configuration experience
Provider pricing delegation experience
Experience with healthcare payer claims systems
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy
The salary range for this role is $89,800 to $176,700 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. In addition to your salary,
UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2
business days or until a sufficient candidate pool has been
collected. Job posting may come down early due to volume of
applicants.
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.
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.
Keywords: UnitedHealth Group, Rochester , Capability Manager - Remote, Executive , Minnetonka, Minnesota
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