This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
This role supports the Optum Care Eligibility Team by developing and maintaining clear operational documentation, designing standardized and efficient processes, and coordinating User Acceptance Testing (UAT) for eligibility data changes, system enhancements and new health plan implementations. The position partners with business, operations, implementation and technology teams to translate requirements into usable procedures, workflows, test scenarios and sustainable controls. In this highly visible role, you will help establish documentation, process and testing standards that improve quality, consistency, readiness and adoption.
This position is full time. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training, based on the hire's skill level. The hours of training will be aligned with your schedule and will work and shadow with SME's on the team.
Primary Responsibilities: - Create, organize and maintain operational documentation, including standard operating procedures, desktop procedures, job aids, reference guides, decision documents and process workflows
- Partner with subject matter experts and business stakeholders to document current-state processes, identify gaps and design clear, controlled future-state processes
- Establish documentation standards, naming conventions, version control practices, review cycles and approval requirements to keep materials accurate and audit-ready
- Facilitate process-development sessions to define roles, handoffs, inputs, outputs, controls, exception paths and success measures
- Translate business and system requirements into clear process documentation, user acceptance criteria, test scenarios and test cases
- Coordinate and execute UAT for OptumHealth member eligibility data loaded into Facets from varying eligibility processing platforms
- Develop effective UAT plans, test cases, test scripts, traceability and test data requirements for new implementations, enhancements and defect fixes
- Partner with Business Implementation Leads, operations teams and project partners to confirm requirements, expected results and testing scope
- Fulfill test data requests and coordinate member data loads needed to support end-to-end testing.
- Analyze test results, research and troubleshoot variances, and clearly communicate business impact, expected outcomes and recommended next steps
- Log, prioritize and track defects through validation and closure; maintain evidence supporting test execution and results
- Monitor, measure and communicate documentation, process-development and UAT status, risks, dependencies, decisions and outcomes
- Identify risks and process breakdowns early and maintain active engagement throughout the project and implementation lifecycle
- Improve documentation and UAT practices to increase efficiency, consistency and alignment with enterprise best practices
- Plan and manage multiple priorities, deliverables and stakeholder commitments in a fast-paced environment
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: - High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of eligibility operations experience
- 1+ years of experience supporting member eligibility data utilizing the Facets eligibility processing platform
- 1+ years of experience developing operational documentation, procedures, workflows OR job aids
- 1+ years of project OR UAT experience in an enterprise environment, including creating OR handling test data and executing and validating test results
- Experience translating business requirements into documented processes, acceptance criteria, test scenarios OR test cases
- Intermediate proficiency with Microsoft Office, including Microsoft Excel, Microsoft Word and Microsoft PowerPoint
- Ability to work a flexible schedule during holidays and peak periods from October through January.
Preferred Qualifications: - Experience documenting end-to-end processes, including roles, handoffs, controls, dependencies and exception paths
- Experience with process mapping, procedure governance, document version control and structured review and approval practices
- Experience developing and executing UAT plans, scripts, traceability and defect-management documentation
- Experience managing multiple projects and responsibilities simultaneously in a fast-paced environment
- Ability to understand and clearly articulate business and system functionality requirements, process flows, test cases and test results
- Written communication, facilitation, analytical, problem-solving and stakeholder-management skills
Telecommuting Requirements:- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*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 hourly pay for this role will range from $29 - $52 per hour 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.
