Senior Product Analyst, Surest – Remote

Opportunities with Surest, a UnitedHealthcare Company (formerly Bind). We provide a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds—the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and discover the meaning behind Caring. Connecting. Growing together.

We are seeking a plan design and benefit analyst to join our growing Surest Benefit Products and Plan Design team. This role will focus on the Surest forms (COC, SBN, Riders, Amendments, etc. for the large group fully insured product, and SPD for the level-funded product) in conjunction with the Surest large group fully insured and level funded plan design/products set-up/configuration. This role ensures that all policy documents and plan design set-ups comply with medical plan design related federal and state regulations and align with medical product strategy and operational requirements.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• On an annual basis, ensure that the Surest large group fully insured large forms (COC, SBN, Riders, Amendments, etc.) prepared and filed by the filing team, align with the Surest generics and the Surest standard medical plan design intent and set-up for the given year; or where different, validating that the differences are due to state specific requirements (i.e. the prefile review process). This includes QA of initial prefile review completed by other team members
• On an annual basis, when the Surest large group fully insured forms are approved, responsible for ensuring that the annual state specific medical plan design pre set-up is aligned to approved forms for the given year (i.e. the post approval review process). This includes QA of initial post-approval review completed by other team members
• Coordinate with the filing team on form update requests as well as objections that require medical plan design review. This may also include cross-functional coordination with the other SME areas
• Coordinate with the plan documents team on Surest fully insured generic and state specific form medical plan design related debracketing instructions, annually, and ongoing, as needed
• On an annual basis, collaborate with the configuration team to understand product changes, track all changes and develop new or revised language to the large group fully insured generic templates, such as the COC and medical SBN in preparation for annual state specific filings
• On an annual basis, review the Surest level funded SPD to ensure applicable alignment with the annual Fully Insured generic forms
• Ongoing tracking, reviewing, documenting, and maintenance of new/updated state specific mandates that are disseminated by the Regulatory Implementation Management Services (RIMS) team and/or the Benefit Policy team (or other areas, as applicable), and that may have an impact to the Surest standard plan designs. This also includes cross-team and cross-functional coordination with internal stakeholders, e.g. plan design team members, the configuration team, the actuarial team, the plan documents team, and the filing team (e.g. for state specific mandates that require prefile review of FI form amendments that are prepared by the filing team)
• Quality Assurance review of annual, ongoing, set-up and source of truth documentation for level-funded and fully insured plan designs
• Quality Assurance review of state specific plan summary information
• Updating and maintaining product standards documentation for the Surest fully insured and level funded plans (including tracking and updating documentation that the team owns that reflects plan standard information, and reviewing/updating documentation that other teams own, as needed)
• Fielding questions from cross-functional areas (e.g. Sales, Configuration, Claims, etc.) and serving as an SME related to fully insured state specific plan design
• Contributing to other ad-hoc and annual projects related to the fully-insured plan designs, maintenance, and documentation throughout the year

The above responsibilities require an accurate and precise attention to detail, solid level of knowledge and experience with large group fully insured medical products and forms, a solid level of knowledge of state specific mandates as they relate to the large group fully insured medical product, a high level of proficiency in Word and Excel (and other Microsoft tools), and solid analytical skills. A solid understanding of the Surest standard product/plan design offerings, as well as the UHC standard product/plan design offerings is a plus. 

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:

• 3+ years of fully insured large group medical forms (COC, SBN, Riders, Amendments, etc.) experience: reviewing, interpreting, updating, and comparing medical plan design form language and cost information
• 3+ years of fully insured large group state regulatory experience, state specific medical plan design requirements, and ACA requirements
• 3+ years of experience that requires an understanding of medical plan design concepts
• Solid working knowledge of employer health and medical specific insurance principles and terminology
• High level of demonstrated experience working in Microsoft, Word, Excel, and other Microsoft tools (e.g. Word compare, utilizing formulas for efficiency, such as xlookups, pivot tables, etc.)
• High level of proficiency utilizing software/databases (such as Looker) to run reports and extract data to analyze/summarize

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.