Appeals Supervisor - Baton Rouge, LA

Position Description:
 
Welcome to one of the toughest and most fulfilling
ways to help people, including yourself. We offer the latest tools, most
intensive training program in the industry and nearly limitless
opportunities for advancement. Join us and start doing your life's best work.SM
Positions in this function are responsible for
providing expertise or general support to teams in reviewing,
researching, investigating, negotiating and resolving all types of
appeals and grievances. Communicates with appropriate parties regarding
appeals and grievance issues, implications and decisions. Analyzes and
identifies trends for all appeals and grievances. May research and
resolve written Department of Insurance complaints and complex or
multi-issue provider complaints submitted by consumers and
physicians/providers.Primary Responsibilities:
Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit.Impact of work is most often at the team level

Required Qualifications:
Associate's Degree or High School Diploma or GED with 4+ years of relevant work experienceIntermediate experience with Microsoft
Word (ability to open and save documents), Excel (ability to create
simple graphs and sort data), Outlook (ability to open and send emails)
and PowerPoint (ability to create simple presentations)2+ years of experience in a Supervisory or Team Lead role preferably within the Healthcare Industry
Preferred Qualifications:
1+ years of Process Improvement experience2+ years of previous Claims experience preferred Previous HR Responsibilities (hire, fire, review, etc.) preferredPrevious Appeals and Grievance experience preferred
Soft Skills:
Previous experience working in a telecommuting role or virtual environment preferred
Careers at UnitedHealthcare Community & State.
Challenge brings out the best in us. It also attracts the best. That's
why you'll find some of the most amazingly talented people in healthcare
here. We serve the healthcare needs of low income adults and children
with debilitating illnesses such as Cardiovascular Disease, Diabetes,
HIV/AIDS and High-risk Pregnancy. Our holistic, outcomes-based approach
considers social, behavioral, economic, physical and environmental
factors. Join us. Work with proactive Healthcare, Community, and
Government partners to heal healthcare and create positive change for
those who need it most. This is the place to 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.Keywords: Baton Rouge, Appeals, Supervisor, team lead, Appeal and grievance