Senior Claims Quality Analyst - Frederick, MD; Wauwatosa, WI; Franklin, TN; Eden Prairie, MN or US Telecommute - Full-time / Part-time

Position Description:
 
You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.SM
 
Senior Claims Quality Analysts are responsible for all aspects of quality assurance within the Claims job family. Conducts audits and provides feedback to reduce errors and improve processes and performance.
 
Responsibilities:


Provide feedback to team members on audit results

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

Responsible for all aspects of quality assurance

Analyze information and utilize to build recommendations to reduce errors and improve process performance

Create, maintain and track reports in relation to performance

Serve as subject matter resource to team members, supervisors and management staff

Provide explanations and interpretations within area of expertise Current utilization of multiple claim platforms to include UNET, COSMOS, Facets, and CDB.

Provide claims support by reviewing, researching, investigating, auditing claims
Positions in this function are responsible for all aspects of quality assurance within the Claims job family. Conducts audits and provides feedback to reduce errors and improve processes and performance.


Analyzes and investigates.

Provides explanations and interpretations within area of expertise.

Required Qualifications:


High School Diploma or GED

1+ years of experience utilizing claims platforms such as UNET, NICE, Pulse, COSMOS, FACETS, and/or Diamond

Intermediate proficiency with Excel and Access
Preferred Qualifications:

Associate or Bachelor Degree
Process Improvement Experience
Six Sigma Methodology Experience (Green-Black Belt)
Project Coordination/Management experience regarding claims payment and Healthcare projects
Take the next step, online at: www.yourlifesbestwork.comCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.