Claims Business Process Consultant - National Remote

UnitedHealthcare; Dallas (TX); Remote; USD 59,000 - 117,000; Full time

Job summary

UnitedHealthcare is seeking a Claims Business Process Consultant to join their team. This role involves analyzing business processes and ensuring quality assurance within the claims department. Candidates should have strong analytical skills, experience in healthcare, and proficiency in Microsoft applications. Along with a competitive salary, the position offers telecommuting options and career development opportunities.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 5+ years of experience in the healthcare sector.
• Advanced level of Microsoft Excel (creating spreadsheets, v-lookups, pivot tables).
• Ability to work full-time and handle flexibility.

Responsibilities

• Perform capacity planning and reporting.
• Conduct claims-related and business system analysis.
• Responsible for quality assurance aspects.

Skills

Analytical skills

Problem-solving skills

Exceptional multi-tasking skills

Communication

Education

High School Diploma / GED

Tools

Microsoft Excel

Microsoft Access

Microsoft Visio

Job description

Claims Business Process Consultant - National Remote

Claims Business Process Consultant - National Remote

4 days ago Be among the first 25 applicants

UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR, what you do matters. It's that simple . . and it's that rewarding.

In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.

Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.

This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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
  
  

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

• High School Diploma / GED
• Must be 18 years of age OR older
• 5+ years of experience working within the healthcare sector
• Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new complex computer system application
• Advanced level of Microsoft Excel (creating spreadsheets, v-lookups, pivot tables)
• Ability to work full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime
  
  

Preferred Qualifications

• Experience with Microsoft Access and Microsoft Visio experience (create, edit, format, manipulate data)
  
  

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  
  

Soft Skills

• Exceptional multi-tasking skills as well as the capability to understand multiple products and multiple levels of benefits within each product
• Effectively presents project updates to stakeholders, ensuring clear understanding and alignment.
• Demonstrated skills to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in a respectful, timely manner, consistently meeting commitments)
• Excellent analytical and problem-solving skills
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The hourly range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  Hospitals and Health Care

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