Job details
Job type full-time
Full job description
Unitedhealthcare is a company that`s on the riseWe`re expanding in multiple directions, across borders and, most of all, in the way we thinkHere, innovation isn`t about another gadget, it`s about transforming the health care industryReady to make a difference? make yourself at home with us and start doing your life`s best work.(sm)
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Primary responsibilities:
Support the implementation of medium to higher complexity operational/strategic prior authorization initiatives
Lead prior authorization development in support of new business implementation
Collaborate with cross-functional teams to analyze business requests and create business requirements
Develop and implement effective/strategic business solutions through research and data analysis, business processes, and assessment of regulatory requirements
Responsible for ensuring timely delivery of requirements and solutions to our prior authorization configuration team
Lead weekly team huddle meetings in support of monthly sprint deliveries, support data analytics, develop and management of team reporting.
Post-production support including issue management and inquiry
Accountable to support team activities to meet business objectives
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:
7 + years experience with technical or healthcare business requirements gathering
5+ experience in analysis of business processes and workflows, and providing evaluations, benchmarks, and/or process improvement recommendations
5+ years in solutions design
5 + years experience working with commercial, medicare and medicaid lines of business
3+ years experience and proficiency in data analysis and report development of metric monitoring and ad hoc reporting
Preferred qualifications:
Bachelor`s degree in business, finance, health administration or related field
Experience in healthcare prior authorization processes and requirements across lines of business
Experience working as a licensed medical coder
Basic understanding of agile methodology and proficient in rally plus
Proficiency with microsoft word, excel, power point, access , and pivot tables
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Careers with unitedhealthcareLet`s talk about opportunityStart with a fortune 5 organization that`s serving more than 85 million people already and building the industry`s singular reputation for bold ideas and impeccable executionNow, add your energy, your passion for excellence, your near-obsession with driving change for the betterGet the picture? unitedhealthcare is serving employers and individuals, states and communities, military families and veterans where ever they`re found across the globeWe bring them the resources of an industry leader and a commitment to improve their lives that`s second to noneThis is no small opportunityIt`s where you can do your life`s best work.(sm)
Colorado residents only: the salary range for colorado residents is $79.700 to $142,600Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
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 workplaceCandidates are required to pass a drug test before beginning employment.
Job keywords: #rpo, medical coder, agile, healthcare, workflows, medicare, medicaid, remote, work from home, work at home, wfh, wah
