Senior Claims Business Consultant - Eau Claire, WI - Full-time / Part-time

• Partner with Project Management teams to identify, test, and implement requirements for successful go-live initiatives, perform root cause analysis post implementation and support remediation activities


• Participate in cross functional meetings for miscellaneous project initiatives: review requirements, define requirements, trouble shoot challenges during development, conduct UAT testing to confirm requirements have been satisfied.


• Support multiple work-plans to completion ensuring accuracy of deliverables.


• Provide oversight for end to end process and resources assigned


• Escalate remediation efforts to appropriate teams to secure resolution


• Manage various aspects of projects to implement change, secure commitment from cross functional work teams to meet deliverable requirements


• Develop task plans and distribute workload to appropriate team members


• Participate in project work groups that include impact to global claims operations


• Interface with Readiness work group to understand implications of CMS regulations changes and the impact to claims operations.


• Operational Analysis


• Cost benefit analysis


• Strong communication skills: verbal and written.

• HS Diploma or GED


• Experience working in teams with end to end process analysis


• Excellent business writing skills


• Extensive medical claim processing experience


• Strong knowledge of PC programs (e.g. Word, Excel, and PowerPoint)


• Experience in a leadership position             

• Exemplary interpersonal and motivational skills at an individual and team level


• Ability to provide extraordinary customer service


• Collaborative team player with a proven track record of  influencing action and resolution


• Effective time manager, with ability to adapt to urgent changes


• Highly analytical with ability to navigate various complex tables using technical documentation


• Working knowledge of transaction systems, including, but not limited to, Cosmos


• Strong organizational skills

 Soft Skills:

• Exceptional verbal communication skills

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.

UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.