Auditor Lead - Eau Claire, WI - Full-time / Part-time

Position Description:

Real relationships, remarkable care, right here. This is healthcare reimagined. We are the first to unite relationship-driven primary care with user-friendly health insurance in one simple plan. We are built around the needs of members, creating a dedicated home base for health that reconnects the face-to-face care experience. Our doctors, health coaches and support teams operate within community-based clinics to put remarkable care within more people's reach.  We are a community of people devoted to our members' health and an experience that makes you feel better just by walking through the door. We get health care right.

Positions in this function are responsible for all aspects of quality assurance within the Claims job family, and will also have audit oversight of Customer Service and Enrollment functions.  This role will serve as team lead for the functional area.  Auditors conduct audits and provide feedback to reduce errors and improve processes and performance. This position offers the opportunity to join an emerging department that is working to dramatically improve the healthcare experience.

Ideal candidates for the Audit Supervisor role will:

• Be driven by empathy and an ability to care about and connect deeply with others


• Put member's needs at the center of all decisions


• Find success through service to others


• Possess creative problem solving skills 


• Have a Get stuff done attitude


• Be unafraid of failure and be willing to grow and learn from experience


• Have tenacious energy with a desire to constantly reinvent yourself, your role, and the healthcare world


• Have a belief that how we treat each other is as important as what we achieve


• Eager to try new things and divert from the plan when it makes sense


• Be flexible and nimble
  

Major Responsibilities:

• Responsible for all aspects of quality assurance within the Claims, Customer Service, and Enrollment functional areas. Conducts audits and provides feedback to reduce errors and improve processes and performance.


• Provide expert claims support by reviewing, researching, investigating, and auditing claims


• Analyze and identify trends and provides feedback and reports to reduce errors and improve claims processes and performance


• Serve as team lead and provide coaching and support to other Auditors in work group


• Ability and desire to work in a fast paced, constantly changing environment based on business needs


• High level of organizational skills, ability to locate resources quickly and meticulous attention to detail


• Extensive work experience, possibly in multiple functions.


• Work does not usually require established procedures.


• Works independently and mentors others

Required Qualifications:

• Claims background required


• Ability to work in a Windows based environment


• 3+ years of Claims Audit experience


• 4+ years of experience analyzing and investigating claims in an office setting environment


• Intermediate proficiency with Excel (date entry, general maneuvering, running filters, general table set-up)


• 1+ years supervisory experience


• Authorization to work in the United States


• Available to work 40 hours per week anytime within the operating hours of the site


• Proficient English speaker
  

Preferred Qualifications:

• Associate degree or equivalent experience


• Knowledge of healthcare and terminology


• Claim processing experience using Facets and MACESS platforms 
  

There are several steps in our hiring process – it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an  on-line pre-screening test  that we ask you to complete as part of our selection process.  You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail.

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.

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.