Revenue Cycle Analyst - Eden Prairie, MN, Irvine, CA, or Cypress, CA Cypress, CA

    UnitedHealth Group Inc.
    Cypress, CA 90630
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    Job Description

    Our customer service & claims teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service and across our global economy. Join us and find out why this the place to do your life's best work.SM

    Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

    Primary Responsibilities:
    • Positions in this function process pharmaceutical rebates based on contract terms established and maintained in rebate billing system and monthly drug utilization reports
    • Verify rebate eligibility by client formulary and line of business
    • Run and audit rebate billing reports and submit invoices to pharmaceutical manufacturers
    • Process incoming rebates, reconcile payments against billing invoice, resolve discrepancies, and allocate rebates to clients
    • Interprets and redlines rebate agreements prior to implementation and coding/loading to rebate billing system
    • Identify system issues, enhancements, and required testing for the rebate billing system
    • Works with Industry Relations, Client Management, Clinical Services, and assigned Pharmaceutical Manufacturers to identify rebate eligibility and formulary information
    • Works with Rebate Accounting to identify issues related to payment collection and reconciliation
    Job Scope and Leveling Guidelines:
    • Uses pertinent data and facts to identify and solve a range of problems within area of expertise
    • Investigates non-standard requests and problems, with some assistance from others
    • Prioritizes and organizes own work to meet deadlines
    • Provides explanations and information to others on topics within area of expertise
    • Can understand and interpret contracts, terms in contracts, concepts such as exclusions
    • Can communicate efficiently in client facing environments
    • Can analyze and understand large data sets
    • Performs first level business analysis
    • Is able to effectively multi-task
    • Develop innovative approaches for improvement in efficiency and effectiveness
    • Perform ad hoc reporting and analysis, and investigate issues providing explanations and interpretation
    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:
    • Bachelors with concentration in Accounting, Finance, Business, or a related field
    • 2+ years of Accounting, Finance, transaction analysis, or related experience
    • Intermediate level of proficiency with Microsoft Excel
    • Anticipates customer needs and proactively develops solutions to meet them
    Preferred Qualifications:
    • Pharmaceutical, healthcare, or insurance experience
    • Experience working with databases to load data, run queries, and perform reporting
    • Customer service experience
    • Experience working with large sets of data
    • Revenue cycle management experience
    Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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: 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.

    Job Keywords: Revenue Cycle Analyst, Eden Prairie, MN, Minnesota, Irvine, Cypress, CA, California

    Posting ID: 588102433Posted: 2020-11-26