Huron Consulting Group
Huron Consulting Group

1001-5000 employees

WebsiteLinkedIn
Management Consulting
Healthcare
Higher Education
Life Sciences
Financial Services
About Huron Consulting Group

Huron Consulting Group is a global professional services firm that partners with clients in healthcare, higher education, life sciences, and commercial sectors to drive growth, improve performance, and manage risk. Founded in 2002, Huron offers consulting services including strategy, operations, technology, and analytics to help organizations solve complex challenges and achieve sustainable results. The company is known for its collaborative approach and deep industry expertise, supporting clients through transformational change and innovation. Huron's mission is to empower clients to realize their full potential by delivering tailored solutions that enhance operational efficiency and financial performance.

5 months ago

Optum CES Configuration SME

Full-time
Mid Level
Optum CES Configuration SME
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Description
  • Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change.
  • Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future.
  • Join our team as the expert you are now and create your future.
  • Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve.
  • We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it.
  • Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
  • Huron is seeking experienced Optum CES Configuration SME with a strong background in Facets Configuration/implementation to support one of our clients in optimizing claims editing and adjudication processes.
  • The ideal candidate will have deep expertise in Optum CES (Optum Claims Edit System) and Facets Configuration, bringing at least 5+ years of hands-on experience in both domains.
  • Key Responsibilities include leading Optum CES implementations, configuring Facets, analyzing and designing claims editing rules, troubleshooting system issues, providing strategic guidance, and conducting testing and documentation.
  • The role requires strong understanding of claims processing in healthcare, experience with Optum and Facets, and excellent problem-solving and communication skills.
  • Preferred qualifications include experience with Optum CES implementation, knowledge of EDI transactions, provider reimbursement, and claims workflows, and prior healthcare IT consulting experience.
  • The position level is Consultant.
  • Huron offers a comprehensive benefits package including medical, dental, and vision coverage, a 401(k) plan with employer match, stock purchase plan, generous PTO, parental leave, adoption assistance, wellness programs, and more.
  • Huron is committed to equal employment opportunity and maintaining a drug-free workplace.

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Benefits
  • Medical, dental, and vision coverage
  • 401(k) plan with a generous employer match
  • Employee stock purchase plan
  • Generous Paid Time Off policy
  • Paid parental leave and adoption assistance
  • Wellness Program including free annual health screenings and coaching, bank at work, on-site workshops, and ongoing recognition programs