Job Description
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start
Caring. Connecting. Growing together. UnitedHealth Group invites you to help us maintain a collaborative partnership with our key state stakeholders. As a Sr. Business Analyst, you will help identify and resolve encounter rejections while ensuring adherence to compliance and timeliness of submissions. You will also have multiple deliverables that will require the skill of time management and the ability to pivot when necessary. Your attention to detail and ability to multitask will facilitate your success while you build your career with a leader and reach for the highest levels of performance as you do your life's best work.
This is a challenging role with many layers. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities - Manages encounter compliance by reviewing reject reports and identifying solutions to reduce rejects
- Collaborates with internal business partners to implement claims system configuration to support encounter requirements
- Facility bi-weekly and ad Hoc meetings to review, determine root cause, and reduce encounter rejects
- Responds to encounter inquiries from our state partners
- Collaborates with the shared services encounter team to meet contract requirements
- Monitors contractual requirements and collaborate with internal business partners to implement new encounter requirements
- Coordinates, leads, and completes projects across various functional areas
- Fulfills Office of Inspector General requests for large datasets
- Manages multiple state deliverables concurrently
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 Operations experience specific to the Community and State product
- 3+ years of CSP Facets claims adjudication or benefit configuration (directly or indirectly)
- 3+ years of interpreting benefit requirements
- Experience working with encounters
- Advanced proficiency with Excel (i.e. pivot tables and VLOOKUP)
- Project Management experience as it relates to coordinating deliverables, leads, timelines across various functional areas
Preferred Qualifications - Solid communication skills both written and verbal
- Detail oriented
- 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 salary for this role will range from $71,200 to $127,200 annually 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.
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.
Job Tags
Minimum wage, Full time, Contract work, Work experience placement, Work at office, Local area,