UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Recovery Resolution Consultant
Location
United States
Posted
2 days ago
Salary
$72.8K - $130K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Recovery Resolution Consultant
UnitedHealth Group
Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. As a Business Analyst, you’ll collaborate with exploratory auditors and data analysts to transform early-stage concepts into scalable, data-driven solutions. This role involves conducting investigative research and performing targeted data analysis to assess the viability of new initiatives. - Conduct root cause analysis for insourcing concepts including research/verification of identified claims - Perform complex data and conceptual analyses - Project delivery - Requirements documents including user stories/BRDs - Testing and quality management including production of test plans and scripts - Ability to translate business requirements and acumen to a technical audience - Operational readiness including preparation of operational documentation and training - Serve as a key resource on complex and/or critical data issues - Support cross value stream transformation and growth activities, both complex and varied Qualifications - High School Diploma / GED - Must be 18 years of age or older - 3+ years of experience with researching medical claims, including provider contract, claim payment policies, and regulatory review - 3+ years of hands-on experience with reviewing and pricing E&I UNET claims - Experience with analyzing large data sets to determine trends/patterns - Experience with project delivery and execution - Ability to work any shift between the hours of 8:00 am - 5:00 pm EST from Monday - Friday Requirements - Experience with analyzing business processes and workflows, providing evaluations, benchmarks, and process improvement recommendations - Experience in KPI management and reporting - Experience with using SQL and Microsoft Excel - Experience with using CDB, iBaaG, iCUE, Doc360 / Emptoris, ODAR, Claim Miner, COW Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) 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.
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