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Hours Full-time, Part-time
Location Latham, NY
Latham, New York

About this job

Position Description:


For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


Primary Responsibilities:

  • Providing expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of complaints/grievances.
  • Coordinating efforts with other areas as necessary.
  • Communicating issues, implications and decisions with appropriate parties.
  • Analyzing and identifying trends for complaints/grievances.
  • Ensuring optimal performance re: timely, accurate, effective and complete responses.
  • Verifying that all documentation, letters and attachments meet customer, regulatory and internal requirements.
  • Preparing for and participating in audits.
  • Organizing, checking, pulling, reviewing and saving files.
  • Maintaining positive working relationships with internal and external customers including regulators.
  • Other duties as assigned.

Requirements

Required Qualifications:
  • Bachelor's Degree.
  • 2+ years of Managed Care experience.
  • Microsoft Office experience (i.e. Word, Excel, Outlook).
  • Must be proficient in developing accurate, easy to understand and thorough correspondence.
  • Any previous Behavioral Health experience.
Preferred Qualifications: 
  • Previous Appeals and/or Complaints/Grievances experience.
  • Previous Claims experience.
  • Bachelor's Degree in Healthcare, Behavioral Health, Business, Psychology or English.


At
Optum, you will perform within an
innovative culture that's focused on transformational change in the Healthcare
system. You will leverage your skills across a diverse and multifaceted
business. And you will make contributions that will have an impact that's
greater than you've ever imagined.




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.