UnitedHealth Group has submitted a proposal in response to the TriCare Managed Care Support Contract Solicitation (also known as the "T-3 Solicitation"). TriCare is the health care program serving active duty service members, National Guard and Reserve members, retirees, their families, survivors and certain former spouses.
UnitedHealth Military & Veterans Services is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the South.
Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.
It's not just business as usual. It is one of our proudest endeavors.
If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth Military & Veterans Services.
Position Description:
The Benefits Analyst is responsible for building the product hierarchy for various TRICARE groups and building the detailed benefit plan rules within the COSMOS system. The full implementation requires an understanding of the COSMOS DIV, benefits packages, claim reviews, BPLs, iBAAG templates, notification requirements, service codes and plan specific nuances.
Primary Responsibilities:
- Benefit analysis and configuration
- Benefit testing of configuration and validation that benefits were updated accurately to ensure adherence to quality measures and correct interpretation of TRICARE requirements
- Complete implementation of benefit structures and product hierarchies, including structure building and set up, structure revisions, researching & resolving structure issues and database loading
- Project review and updates
- Participation on conference calls as a subject matter expert for benefits to include COSMOS and iBAAG configuration
- Table updates/responding to email questions/audit findings
View Similar Jobs
Forward
Save
Flag as...
Print
