Business Systems Analyst - San Francisco, CA, Telecommuter

US APPLICANTS ONLY: To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements, and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

This position will be supporting the successful implementation of new Medicaid and Medicare lines of business that will be implemented on the Behavioral Health Facets platform beginning 2021. As part of this support, the Configuration team requires technical analysts who have the following knowledge base and configuration capability.

Primary Responsibilities:
  • Claims Processing
  • Benefit Configuration
  • Core Facets Pricing Configuration (Provider Agreements & Pricing)
  • NetworX Configuration
  • Medical Plan Configuration (Accums, AIAI, Interest rates, UM matching, Deductible rules, etc.)
  • Utilization Management configuration
  • VBR configuration
  • Claims Workflow configuration
  • Facets Security
  • Support/Facilitate/Maintain/Manage Installation and Implementation of Commercial, Medicare and Medicaid lines of business
  • Research configuration and setup installation issues and develop customer specific resolution, where appropriate
  • Collaborate with stakeholders and internal customers
  • Manage workload in a fast-paced environment adhering to tightly controlled processes
  • Assess and interpret internal customer needs and requirements
  • Serve as a resource to others
  • Execute internal peer to peer audits to ensure quality standards are surpassed
  • Participate in cross functional meetings for miscellaneous project initiatives: review requirements, define requirements, troubleshoot challenges
  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Investigates non-standard requests and problems
  • Provide explanations and information to others on topics within area of expertise
  • Perform additional duties as required and/or assigned
  • Create and deliver high quality system solutions for our applications, products and services across all technology functions. Consult with users and technology specialists to define business processes and the information systems for supporting those processes
  • May perform analysis and also serve as business liaisons to understand and refine business requirements. Provide technical support in developing systems that are cost effective and meet users' requirements
  • Works to create systems that work together in a cohesive manner, enforcing standards and methods consistently across the enterprise
  • Support both new implementations as well as current system improvements and maintenance along with new system development
  • Serves as a resource to others

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:
  • Undergraduate degree or equivalent experience
  • 4+ years of experience in the U.S. Healthcare industry
  • 4+ years of Cognizant FACETS experience with proven experience in the following areas:
    • Claims Processing
    • Benefit Configuration
    • Core Facets Pricing Configuration (Provider Agreements & Pricing)
    • NetworX Configuration
    • Medical Plan Configuration (Accums, AIAI, Interest rates, UM matching, Deductible rules, etc.)
    • Claims Workflow configuration
  • 2+ years of experience supporting the following lines of business: Commercial, Medicare, and Medicaid
  • 2+ years of DB Querying tools experience (i.e. SQL, Microsoft Access, Hyperion, Toad, etc.)
  • Proven experience gathering and documenting requirements
  • Proven experience with process improvement and/or evaluation of business processes
  • Proven ability to thoroughly test to ensure intended results are achieved

Preferred Qualifications:
  • Excellent communication skills, both written and verbal
  • Proven ability to solve problems effectively and manage multiple priorities successfully

Careers 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)

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: Business Systems Analyst, Business Analyst, San Francisco, CA, California