Senior Capability Analyst - IFP - Remote

Posted Yesterday
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Hiring Remotely in Minneapolis, MN, USA
In-Office or Remote
73K-130K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Translate regulatory requirements into technical requirements for member materials; manage COC merging and create SBCs/DBDs; author rules for automated member-materials systems; ensure accuracy of published materials and document business processes.
Summary Generated by Built In
Requisition Number: 2360525
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
If you want to be a part of new growth within UnitedHealthcare (UHC) then this is the perfect opportunity for you. As part of our Individual & Family Plan (IFP) business, we are expanding our product portfolio to serve a diverse set of members and meet the needs our state and federal partners. Reporting to the Member Materials Manager, Product Management and Regulatory Alignment, this new role will assist in the process for translating regulatory requirements for member material content into clear technical requirements and ensure the produced member materials are compliant, accurate, and delivered timely.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
  • Manage COC merging process and document implementation for the IFP market year over year
  • Create and implement SBCs and DBDs for the IFP market year over year
  • Assist in authoring rules and content included within the Member Materials automated systems
  • Assist in ensuring accuracy of final version of materials delivered to members or published on UnitedHealthcare's public website
  • Assist in documenting business processes

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:
  • Certificate of Coverage (COC) and Summary of Benefits and Coverage (SBC) experience
  • Individual Market, Medicaid, or Commercial insurance experience
  • Plan Library system experience
  • Proficiency in developing documented processes and workflows
  • Advanced proficiency in Microsoft Office applications
  • Proven effective in attention to detail

Preferred Qualifications:
  • Proven ability to balance strategic thinking with the urgency to drive work forward
  • Proven ability to adapt quickly to changes in work direction and able to pivot work accordingly
  • Proven ability to develop creative solutions to complex problems
  • Proven team player able to form working professional relationships
  • Proven effective communicator (persuasive written, oral, and presentation skills)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.

Skills Required

  • Certificate of Coverage (COC) and Summary of Benefits and Coverage (SBC) experience
  • Individual Market, Medicaid, or Commercial insurance experience
  • Plan Library system experience
  • Proficiency in developing documented processes and workflows
  • Advanced proficiency in Microsoft Office applications
  • Proven effective attention to detail
  • Ability to pass a pre-employment drug test
  • Proven ability to balance strategic thinking with urgency to drive work forward
  • Proven ability to adapt quickly to changes in work direction
  • Proven ability to develop creative solutions to complex problems
  • Proven team player able to form professional working relationships
  • Proven effective communicator (written, oral, presentation)

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Healthcare Strength Health coverage offers copay and HSA medical options with dental, vision, company‑paid life and disability, and free or low‑cost virtual visits. Feedback suggests the offering is comprehensive and competitive on paper.
  • Parental & Family Support Time off and family supports include PTO, eight paid holidays plus a floating day, six weeks paid parental leave, up to two weeks paid caregiver leave, Bright Horizons back‑up care, and adoption assistance up to $10,000. Feedback suggests these resources are meaningful for caregivers and family needs.
  • Retirement Support Savings programs include a 401(k) with employer match (after one year, vesting after two) and a 10%‑discount Employee Stock Purchase Plan. These programs bolster long‑term financial security when combined with other savings resources.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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