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in Minnetonka, MN

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Hours Full-time, Part-time
Location Minnetonka, MN
Minnetonka, Minnesota

About this job

You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health care. Does the challenge intrigue you?


 


During 2015, as Payment Integrity Operations continues to mature processes to improve our value, quality and delivery of services, our team will also grow to ensure our leadership and talent are aligned to our operational strategy. We are focused on ensuring the right structure is in place to operate efficiently and effectively, build on our culture value foundation and achieve operational excellence.


 


In February of 2015, we announced the creation of a new Payment Integrity Operations segment, the Business Transformation Team, which is initially responsible for:


 




  • Day to day ownership of key 2015 savings initiatives


  • Oversight of 2015 claim platform migrations and Community & State(C&S) - Implementationsexpansions/rebids


  • Enhancement of core metrics & KPIs


  • Continued implementation of the Signature Processes

In this role, you will be responsible for troubleshooting issues, and using your ability to analyze data and to present analysis in a format that is relatable to interested parties.  You will be responsible for determining best solutions and moving from concepts to processes.  You will use your expertise to problem solve/research issues to completion.  You will also collaborate and work cross-functionally in a matrix environment.


 


Join us! There's never been a better time to do your life's best work.(SM)


 


This will be a telecommuting position.

Requirements

Required Qualifications:



  • Bachelors degree in Business, Finance, Health Administration,related field or equivalent work experience

  • 3+ year of experience in claims operations, including provider interaction, clinical policies, clinical editing.

  • Experience with data analysis

  • Experience gathering requirements from the client/business and documenting those requirements.

  • Experience with process improvement, workflow, benchmarking and / or evaluation of business processes required

  • Understanding of how claims are paid and various aspects of claims 

  • Intermediate level of proficiency with PC based software programs and automated database management systems required (Excel, Access, PowerPoint)

  • Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally

  • Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data

  • Working knowledge of relational databases, database structures

Desired Qualifications:



  • Claims operations experience

  • Network management background would be great

  • Clinical background or experience working with clinical is desirable


Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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: 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.