Recovery/Resolutions Analyst - Brentwood, TN - Full-time / Part-time

Position Description:Welcome to one of the toughest and most fulfilling ways
to help people, including yourself. We offer the latest tools, most
intensive training program in the industry and nearly limitless
opportunities for advancement. Join us and start doing your life's best
work.SM Recovery/Resolution Analyst is responsible for
managing prospective claims savings to ensure cost avoidance financial goals
are met.  The COB Recovery/Resolution Analyst
high level focus is on the financial impact / cost savings to UHG, efficiency
of COB processes, and compliance with state and federal requirements.Primary Responsibilities: Lead and oversee projects to improve the
identification and use of COB information for managing claim costs.Monitor vendor and state files  to ensure other coverage information is loaded
timely and accurately.Provide critical information about COB
processes, expectations, etc. necessary for COB vendors to perform as expected.Represent department in IT and business
initiatives;Research COB encounter rejectsResearch cost avoidance  reconciliation issuesResearch escalated COB issues and concerns, to
identify root causes of problems or explain misinterpretations of COB outcomesPerform regular audits of COB claims Perform regular audits of COB membersSeek out and oversee project opportunities to
drive the identification of new COB information and the improvement of COB
processes.Take leadership and ownership of existing  projects to maximize COB cost avoidanceWork collaboratively with COB SMEs, operational
teams and management, health plan representatives, and other external and
internal partners.Work with internal operational teams to
monitor  inventory and processes to load
COB recordsPerform vendor and state file reconciliation
auditData EntryCOB data verification

Required Qualifications:

1+ year experience in Business Analysis 1+ year experience in Claims Auditing 2+ years Claims experienceBachelor's Degree or High School Diploma/GED with 5+ years experience
in a project management, business analysis or a claims management role.

Preferred Qualifications:

Medicaid/Medicare claims
experience

Data analysis experienceSoft Skills:Ability to document root cause, recommend a
solution and drive resultsAbility to handle aggressive timelinesAbility to manage multiple projects with competing
prioritiesCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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.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.