**Senior Healthcare Consultant - Payment Integrity - Payer Consulting -Telecommute - Full-time / Part-time

What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. You'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. 

As a Senior Consultant you'll provide consulting services to strengthen and improve health care operations that result in stronger financial returns and a healthier health care system. You'll use your strong strategic and business acumen to work closely with clients to define, develop and document business requirements to ensure needs are captured and critical deliveries are executed. This consulting career gives you the opportunity to travel and share in a mission that inspires. You'll see your ideas come to life and your achievements recognized. You won't find tougher challenges. And you won't find smarter people working together to solve them. Join us and start doing your life's best work.(sm)

Our group currently has openings for a variety of skillsets:

First and foremost we are seeking individuals that have worked within a professional consulting organization and/or have worked in a high demand military role.

Payment Integrity

We are seeking candidates with consulting experience involving Payment Integrity functions such as:

• Claims Editing


• Enrollment Integrity/Coordination of Benefits


• Fraud, Waste & Abuse


• Overpayment Identification


• Claims auditing


• Health care Subrogation / Third Party Liability

Required Qualifications:

• Bachelor's Degree (BS or BA) and/or 3+ years working in a Professional Consulting organization preferred


• Willingness to travel up to 80% of the time**


• Experience in Payment Integrity functions such as:
  
  
  
  • Claims Editing 
  
  
  • Enrollment Integrity/Coordination of Benefits 
  
  
  • Fraud, Waste & Abuse 
  
  
  • Overpayment Identification
  
  
  • Claims auditing and health care
  
  
  • Subrogation / Third Party Liability


• 3+ years Healthcare experience in Payment Integrity


• Quantitative ability to analyze data


• Strong knowledge of Microsoft Office products with a focus on PowerPoint and Excel


• Strong work ethic and desire to help clients improve their businesses

Preferred Qualifications:

• Master of Business Administration

**Travel is required and typically associates will fly out on Monday and fly home on Thursday, working from home if not at client. Location for the role is flexible.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job keywords: healthcare consulting, payment integrity, icd10, system integration, healthedge, configuration analyst, telecommute, work from home, travel