Senior Claims Business Process Analyst - TRICARE - US Telecommute

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 Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes and claim business rules. Include claims systems utilization, capacity analyses/planning and reporting, claims-related business and systems analysis. Ensure data integrity, data security and process optimization.Positions in this function are responsible for all
related aspects of claim system processes and claim business rules.
Includes claims systems utilization, capacity analyses/planning and
reporting. Includes claims-related business and systems analysis.
Ensures data integrity, data security and process optimization.As a potential government contractor, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF85P.Primary Responsibilities:Provide claims support reviewing, researching, investigating, auditing claimsProvide feedback on audit resultsAnalyze and identify trends and provide feedback and reportsAnalyze information and utilize results to build recommendations to reduce errors and improve process performanceServe as Tricare subject matter resource to team members, supervisors and management staff

Requirements:HS diploma/GED2+ years Claims Appeals experienceExperience in MS Word creating, editing, and saving documents  Experience in MS Excel using basic formulas, sort, filter, V-Lookups, and Pivot Tables Knowledge of Tricare Policy and Processes US CitizenshipAbility to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86.Assets:Military experience is a plus As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check or “NAC”).  Successful completion of the NAC process is a requirement for continued employment in this role.  NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense.  Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received.  Failure to obtain final NAC approval will result in termination from this role. UnitedHealthcare Military & Veterans is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system. We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the (list region post award). Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions. It's not just business as usual. It is one of our proudest endeavors.If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth care Military & Veterans.This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.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.Â