Reporting Claims Data Analyst - Telecommute - Full-time / Part-time

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)
 
What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.
 
The Reporting Claims Data Analyst is responsible for performing comprehensive research and identifying claim payment abnormalities within United Payment Integrity.    The Reporting Claims Data Analyst will investigate, research, analyze claims data, and apply knowledge of medical policy to determine details claim payment inaccuracies and identify permanent solutions. Determine root cause/solutions for Payment Integrity Operations.
 
Primary Responsibilities:

Assess and interpret each segment’s needs and requirements
Identify solutions to non-standard requests and problems
Solve complex problems and/or conduct complex analysis
Work with minimal guidance; seek guidance on only the most complex tasks
Translate concepts into practice
Provide explanations and information to others on difficult issues
 

Required Qualifications:


4+ years experience in claims processing

Strong computer skills (Advanced Knowledge of Microsoft Excel is required pivot tables, lookup statements)

Ability to identify and understand the data needs of a growing organization

Structure and prepare analysis to support and lead decision making

Strong verbal and written communication skills

Strong interpersonal skills and ability to interact with multiple departments and management

Ability to prioritize time

Work on multiple tasks with ongoing deadlines

Experience with claims processing systems such as UNET, COSMOS, Facets, Diamond, etc.
Preferred Qualifications:


Commercial and/or Medicare audit experience
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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: 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.