Supports Epic claims and remittance systems within a revenue cycle IT team. Responsibilities include configuring, testing, maintaining, and troubleshooting Epic PB and HB workflows; supporting upgrades, implementations, production incidents, and on-call operations; translating business requirements into specifications; maintaining documentation; facilitating stakeholder sessions; and ensuring compliant system changes and reliable data flow.
Requisition Number: 2384338
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
Welcome to the Revenue Cycle IT Support Team. In this role, you will be part of a dynamic, fast-paced team that provides on-call support for operational needs and requests, while also contributing to projects and system go-lives. This multi-faceted team supports a range of EDI and payment transaction applications, including eligibility systems, multi-system cash reconciliation processes, and point-of-sale solutions. You will play a key role in ensuring system reliability, supporting business operations, and driving successful implementations across the revenue cycle.
For this role as a Systems Management Analyst on the Revenue Cycle team, you will play a key role in configuring, maintaining, and supporting claims processing and remittance workflows. You will partner closely with operations and business stakeholders to ensure accurate, efficient data flow across systems, troubleshoot issues, and optimize processes that support revenue integrity and timely reimbursement.
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:
Key Competencies:
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:
Preferred Qualifications:
*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 $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
Welcome to the Revenue Cycle IT Support Team. In this role, you will be part of a dynamic, fast-paced team that provides on-call support for operational needs and requests, while also contributing to projects and system go-lives. This multi-faceted team supports a range of EDI and payment transaction applications, including eligibility systems, multi-system cash reconciliation processes, and point-of-sale solutions. You will play a key role in ensuring system reliability, supporting business operations, and driving successful implementations across the revenue cycle.
For this role as a Systems Management Analyst on the Revenue Cycle team, you will play a key role in configuring, maintaining, and supporting claims processing and remittance workflows. You will partner closely with operations and business stakeholders to ensure accurate, efficient data flow across systems, troubleshoot issues, and optimize processes that support revenue integrity and timely reimbursement.
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:
- Provide subject matter expertise in Epic PB and HB Claims and Remittance, including system design, building, testing, and implementation
- Collaborate with leadership and end users to design and configure solutions, providing technical and clinical consultation, including workflow analysis and application configuration to support enhancements and issue resolution
- Participate in multiple small to medium-scale Epic upgrade initiatives and workflow enhancements through all project phases
- Facilitate design and validation sessions, ensuring thorough documentation, follow-up, and issue escalation
- Maintain system documentation, including design specifications and build records
- Monitor production applications and respond to incidents, including participation in 24/7 on-call support as needed
- Execute all phases of testing, including unit, system, and integrated testing for claims and remits
- Analyze workflows, data collection, reporting needs, and technical issues to support solution development
- Collaborate with training teams to develop and maintain application-specific training materials
- Translate business requirements into functional specifications; manage system updates, enhancements, and release testing
- Ensure compliance with organizational standards for system configuration and change control
- Build and maintain solid relationships with end users, stakeholders, and business partners
- Facilitate communication across teams from requirements gathering through implementation
- Troubleshoot and resolve application issues, escalating complex problems as appropriate
- Maintain knowledge of Epic functionality and operational workflows
Key Competencies:
- Time Management & Prioritization: Demonstrates exceptional time management, organizational, and prioritization skills, with a proven ability to manage multiple concurrent responsibilities in fast-paced, dynamic environments
- Epic EMR Expertise: Possesses comprehensive knowledge of Epic systems, comprehensive experience across the full implementation life cycle of Epic's suite of applications
- Relationship Building: Effectively cultivates and maintains solid internal relationships, inspiring colleagues through consultative engagement and influential communication
- Collaboration: Collaborates across teams, departments, and business units to drive solution standardization, promote reusability, and address complex business challenges
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:
- Active Epic certification in Epic Resolute PB Claims and Remittance Admin or HB Claims and Remittance Admin
- 3+ years of experience with Epic implementation and/or support
- Supporting customer support with daily on-call support and working with implementations and upgrades
- Ability to participate in projects and upgrades requiring after hours availability as business needs dictate (for Epic Upgrades, implementations, other application upgrades)
- Available for daily support during business hours 7:00am-5:00pm EST
Preferred Qualifications:
- Additional Epic certifications (Ex: Resolute PB Admin, Resolute HB Admin)
- 5+ years of experience with Epic implementation and/or support
- Experience in payer/plan build and maintenance
- Proficiency with Excel, Word, ServiceNow and Teams
- Proven ability to collaborate with colleagues through clear, effective communication
*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 $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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