The job below is no longer available.

You might also like

in Atlanta, GA

Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location Atlanta, GA
Atlanta, Georgia

About this job

Position Description:


Energize your career with one of Healthcare's fastest growing companies.  

 

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

 

This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.

 

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.


Primary Responsibilities:

  • Providing expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of complaints/grievances.
  • Coordinating efforts with other areas as necessary.
  • Communicating issues, implications and decisions with appropriate parties.
  • Analyzing and identifying trends for complaints/grievances.
  • Ensuring optimal performance re: timely, accurate, effective and complete responses.
  • Verifying that all documentation, letters and attachments meet customer, regulatory and internal requirements.
  • Preparing for and participating in audits.
  • Organizing, checking, pulling, reviewing and saving files.
  • Maintaining positive working relationships with internal and external customers including regulators.
  • Other duties as assigned.
Multiple locations available: 
San Francisco, CA, Chicago, IL, St. Louis, MO, Houston, TX, Atlanta, GA , Portland, OR 

Requirements

Required Qualifications:
  • Bachelor's Degree.
  • 2+ years of Managed Care experience.
  • Microsoft Office experience (i.e. Word, Excel, Outlook).
  • Must be proficient in developing accurate, easy to understand and thorough correspondence.
  • Previous Behavioral Health experience.
Preferred Qualifications: 
  • Previous Appeals and/or Complaints/Grievances experience.
  • Previous Claims experience.
  • Bachelor's Degree in Healthcare, Behavioral Health, Business, Psychology or English.



Careers
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: 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.