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in Eau Claire, WI

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Hours Full-time, Part-time
Location Eau Claire, WI
Eau Claire, Wisconsin

About this job

Position Description:

UnitedHealth
Group is working to create the Healthcare system of
tomorrow and you can help. Already Fortune 17, we are totally focused on
innovation and change.  We work a little
harder. We aim a little higher. We expect more from ourselves and each other.
And at the end of the day, we're doing a lot of good.

 

Through our family of businesses and a lot of inspired individuals, we're
building a high-performance Healthcare system that works better for more people
in more ways than ever. Now we're looking to reinforce our team with people who
are decisive, brilliant and built for speed. 
Join with us and start doing your life's best work.SM

Real relationships, remarkable care, right here. This is healthcare reimagined. We are the first to unite relationship-driven primary care with user-friendly health insurance in one simple plan. We are built around the needs of members, creating a dedicated home base for health that reconnects the face-to-face care experience. Our doctors, health coaches and support teams operate within community-based clinics to put remarkable care within more people's reach.  We are a community of people devoted to our members' health and an experience that makes you feel better just by walking through the door. We get health care right. Positions in this function are responsible for all aspects of quality assurance within the Claims job family, and will also have audit oversight of Customer Service and Enrollment functions.  This role will serve as team lead for the functional area.  Auditors conduct audits and provide feedback to reduce errors and improve processes and performance. This position offers the opportunity to join an emerging department that is working to dramatically improve the healthcare experience. Primary Responsibilities:Responsible for all aspects of quality assurance within the Claims, Customer Service, and Enrollment functional areas. Conducts audits and provides feedback to reduce errors and improve processes and performance.Provide expert claims support by reviewing, researching, investigating, and auditing claimsAnalyze and identify trends and provides feedback and reports to reduce errors and improve claims processes and performanceServe as team lead and provide coaching and support to other Auditors in work groupAbility and desire to work in a fast paced, constantly changing environment based on business needsHigh level of organizational skills, ability to locate resources quickly and meticulous attention to detailExtensive work experience, possibly in multiple functions.Work does not usually require established procedures.Works independently and mentors othersCore Competencies: Be driven by empathy and an ability to care about and connect deeply with othersPut member's needs at the center of all decisionsFind success through service to othersPossess creative problem solving skills Have a Get stuff done attitudeBe unafraid of failure and be willing to grow and learn from experienceHave tenacious energy with a desire to constantly reinvent yourself, your role, and the healthcare worldHave a belief that how we treat each other is as important as what we achieveEager to try new things and divert from the plan when it makes senseBe flexible and nimble

Requirements

Required Qualifications:High School Diploma/GEDClaims backgroundAbility to work in a Windows based environment1+ year of Claims Audit experience2+ years of experience analyzing and investigating Claims in an office setting environmentExperience with Excel (date entry, general maneuvering, running filters, general table set-up)1+ year Supervisory experienceAuthorization to work in the United StatesAvailable to work 40 hours per week anytime within the operating hours of the siteProficient English speaker Preferred Qualifications:Associate DegreeKnowledge of Healthcare and TerminologyClaim processing experience using Facets and MACESS platforms  Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SMDiversity 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.