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in Brentwood, TN
Claims Business Process Consultant - US Telecommute - Full-time / Part-time
•30 days ago
Hours | Full-time, Part-time |
---|---|
Location | Brentwood, TN Brentwood, Tennessee |
About this job
Position Description:
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.
Primary Responsibilities:
- Perform capacity planning and reporting
- Claims related and business system analysis
- Responsible for all aspects of quality assurance
- Create and edit requirements, specifications, cost benefit analysis and recommendations to proposed solutions
- Facilitate development of process documentation
- Generally work is self-directed and not prescribed.
- Works with less structured, more complex issues.
- Serves as a resource to others.
Requirements
Requirements:
- Undergraduate degree or 10 years of related experience
- Advanced experience with MS Excel and PowerPoint
- 5+ years working knowledge of medical claims and appeals
- 5+ years analyzing and reporting claims and/or appeals data
- Comfortable presenting and communicating reported data
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
- Office environment
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.