Claims Operations (Facets) Lead

We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real specific content. We must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate like EEO, etc. We need to parse the posting. First part: "Who We Are" description about UST. That's generic company description; maybe we can put under About the role? Actually "About the role" is typical heading for description of role. The posting includes "Who We Are" and "You Are" etc. The role description: "You Are UST is searching for a Claims Operations (Facets) Lead who will lead the end-to-end transition and operational delivery of Facets Claims Operations, ensuring successful knowledge acquisition, operational readiness, stabilization, and seamless transition to steady-state support." Then "The Opportunity" bullet list of responsibilities. Thus we can put About the role: maybe combine "Who We Are" and "You Are" as description? But we need to preserve substantive info. The "Who We Are" is generic about UST; still substantive. Could include under About the role. Responsibilities: list from "The Opportunity" bullet points. Requirements: maybe "What You Need" list. Qualifications: maybe not separate; but we have "What You Need" includes experience etc. Could treat as Requirements. Qualifications maybe not present. Skills: list at bottom: "Skills FACETS, Claims Management, Healthcare Systems, Stakeholder Management". Also earlier mention of skills: communication, stakeholder management, leadership. Pay: compensation range given: $83,000-$125,000. Benefits: detailed benefits description. Schedule: not mentioned explicitly; maybe full-time implied but not stated. Should not create Schedule unless present. So omit Schedule. We must not include placeholder like "commensurate with experience". Not present. We must not include duplicated lines. We must remove cookie/navigation/legal/EEO etc. So remove Equal Employment Opportunity Statement and the values section? The "What We Believe" about values maybe not boilerplate but could be considered culture; but it's not specifically about role. Might be considered boilerplate? It's about company values; could be kept under About the role? Might be okay but it's generic. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The values section is not EEO; it's company values. Might be okay to keep under About the role? But it's not directly role. However we can include as part of About the role if we want. But better to keep only role-specific content. The "Who We Are" is also generic but maybe considered company overview; still could be under About the role. We need to preserve ALL substantive information; do not invent or summarize away detail. So we must keep the values? It's substantive about company culture but not role-specific. The instruction says remove boilerplate; values might be considered boilerplate? Not sure. Safer to keep it under About the role? Might be considered fluff. I'd include it under About the role as it's part of the posting. But we must not create sections with filler. So we need to ensure each section has real specific content. Let's extract: About the role: Could combine "Who We Are" and "You Are" and maybe "What We Believe". But we need to avoid too much fluff. However we must preserve all substantive info; if we omit "Who We Are", we lose that info. So we need to include it somewhere. Could put under About the role. Responsibilities: list from The Opportunity bullet points. Requirements: from What You Need bullet list (10+ years etc). Also maybe "Proven experience leading large-scale transition..." etc. Qualifications: maybe not separate; we could omit Qualifications section if no distinct qualifications beyond requirements. But we could treat Requirements as qualifications. However instruction: use sections only when posting has real specific content for it. If we have both Requirements and Qualifications overlapping, we could combine into one section Requirements (or Qualifications). But we need to decide. The posting includes "What You Need" which is requirements. No separate qualifications list. So we can have Requirements section. Skills: list of skills: FACETS, Claims Management, Healthcare Systems, Stakeholder Management. Also earlier: Excellent communication, stakeholder management, leadership skills. So we can list those. Pay: compensation range. Benefits: detailed. Schedule: not present, omit. Now we need to format with

headings and

• for lists,

  for prose. We must not repeat job title as heading. So no heading for Claims Operations (Facets) Lead Manager I – HealthPlan. We must not put Job ID etc. Now produce HTML. Let's craft:

  About the role

  Born digital, UST transforms lives through the power of technology. We walk alongside our clients and partners, embedding innovation and agility into everything they do. We help them create transformative experiences and human-centered solutions for a better world. UST is a mission-driven group of 29,000+ practical problem solvers and creative thinkers in more than 30 countries. Our entrepreneurial teams are empowered to innovate, act nimbly, and create a lasting and sustainable impact for our clients, their customers, and the communities in which we live. With us, you’ll create a boundless impact that transforms your career—and the lives of people across the world. Visit us at UST.com.

  You Are UST is searching for a Claims Operations (Facets) Lead who will lead the end-to-end transition and operational delivery of Facets Claims Operations, ensuring successful knowledge acquisition, operational readiness, stabilization, and seamless transition to steady-state support.

  We proudly embrace the values that have shaped UST since day one. We build our culture of Humility, Humanity, and Integrity. These values inspire us to nurture a people-first, human centric culture that fosters diversity, prioritizes sustainable solutions, and keeps our people and clients at the forefront of all decisions. Humility: We will listen, learn, be empathetic and help selflessly in our interactions with everyone. Humanity: Through business, we will better the lives of those less fortunate than ourselves. Integrity: We honor our commitments and act with responsibility in all our relationships.

  That seems okay. Now Responsibilities:

  Responsibilities

  • Act as the primary client-facing lead and trusted advisor for Claims Operations, managing executive stakeholder relationships, governance forums, risk reviews, and operational decision-making.
  • Partner with client SMEs and business leaders to assess current-state operations, define future-state operating models, and establish service delivery frameworks.
  • Drive transition planning, knowledge transfer execution, readiness assessments, and operational acceptance activities to ensure a successful handoff to delivery teams.
  • Oversee Facets claims adjudication operations, ensuring adherence to productivity, quality, accuracy, turnaround time, and SLA commitments.
  • Establish governance processes, performance metrics, reporting dashboards, and controls to monitor operational performance and deliver continuous visibility to stakeholders.
  • Identify operational risks, process gaps, dependencies, and improvement opportunities, implementing mitigation plans and corrective actions to ensure delivery stability.
  • Collaborate with cross-functional teams including Enrollment, Provider Operations, Configuration, Application Support, and Technology teams to drive end-to-end process effectiveness.
  • Lead continuous improvement, automation, and transformation initiatives to enhance operational efficiency, quality, customer experience, and business outcomes.
  • Provide leadership, coaching, and direction to onshore and offshore operations teams, fostering a culture of accountability, collaboration, and operational excellence.
  • Support workforce planning, capacity management, forecasting, and resource optimization to align with client demand and business objectives.
  • Ensure compliance with healthcare payer regulations, client policies, audit requirements, and operational governance standards.
  Now Requirements:

  Requirements

  • 10+ years of Healthcare Payer Operations experience with deep expertise in Facets Claims processing and adjudication.
  • Proven experience leading large-scale transition, transformation, and managed services engagements.
  • Strong understanding of Commercial, Medicare, Medicaid, and Government Programs claims operations.
  • Demonstrated success managing client relationships, operational governance, service delivery, and cross-functional teams.
  • Excellent communication, stakeholder management, and leadership skills.
  Now Skills:

  Skills

  • FACETS
  • Claims Management
  • Healthcare Systems
  • Stakeholder Management
  • Communication
  • Leadership
  Now Pay:

  Pay

  Compensation range: $83,000‑$125,000 (varies based on office location, role, skill set, education, and experience).

  But we must not include placeholder like "varies". The posting says: "Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below. Role Location: Washington Compensation Range: $83,000-$125,000". So we can include that sentence. It's not placeholder; it's specific. So we can put:

  Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets. Role Location: Washington. Compensation Range: $83,000‑$125,000.

  That's fine. Now Benefits: We need to include the benefits paragraph. It's long; we can keep as

  or break into

  for list. The instruction: Use
  • for any list of duties/requirements/benefits, and

    for prose. Benefits is a list; we should use

    • . Let's extract list items: - Full-time, regular employees accrue a minimum of 10 days of paid vacation per year - receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) - 10 paid holidays - eligible for paid bereavement leave and jury duty - eligible to participate in the Company’s 401(k) Retirement Plan with employer matching - They and their dependents residing in the US are eligible for medical, dental, and vision insurance - basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits (Company-paid Employee Only benefits) - Regular employees may purchase additional voluntary short-term disability benefits - participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses as allowable under IRS guidelines - Benefits offerings vary in Puerto Rico - Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching - Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance. - Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) - All US employees who work in a state or locality with more generous paid sick leave benefits than specified here