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Payment Integrity, Associate Healthcare Econ Director - Provider - Telecommute

Company: UnitedHealth Group
Location: Minnetonka
Posted on: April 5, 2021

Job Description:

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing 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)-- Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Identify, create, and develop a portfolio of cost savings initiatives that drive specific and measurable results for assigned clients while providing timely and meaningful client updates
  • Perform and participate in iterative analytical, experimental, investigative, and other fact-finding work in support of concept development
  • Establish strong matrixed relationships with internal stakeholders to define, align, and deliver payment integrity initiatives in support of assigned clients
  • Influence senior leadership to adopt new ideas, approaches, and/or products
  • Recommend changes to current product development procedures based on market research and new trends
  • Industry thought leader and subject matter expert for Facility claims, related trends, pricing, and cost management initiatives
  • Lead concepts / projects from conceptualization to completion 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:
    • Bachelor's degree in a Healthcare or Medical Field--
    • 5+ years of experience auditing, billing, and/or coding claims within a Provider Centric area
    • 5+ years of work experience in highly collaborative and consultative roles, with ability to establish credibility quickly with all levels of management across multiple functional areas
    • 3+ years of experience with interpreting data sets
    • 3+ years of experience presenting proposals to stakeholders and internal customers
    • 2+ years of Project Management experience--
    • Maintains working knowledge of CMS rules and regulations and billing codes and related services--
    • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders Preferred Qualifications:--
      • Coding certification through AAPC or AHIMA--
      • 5+ years' experience in the health care industry (Medicare, Medicaid, Commercial) with deep exposure to Payment Integrity
      • 3+ years' experience in claims adjudication or revenue cycle management--
      • 2+ years' experience working in a matrixed and highly adaptive environment handling tight deadlines
      • Proficiency with SQL, SAS and/or other statistical programs--
      • Self-managed, self-starter with the ability to support multiple concurrent projects and meet tight delivery timelines
      • Strong project management approach with excellent critical thinking and problem-solving skills
      • Exceptional presentation, communication, and negotiation skills 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) Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As 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 workplace. Candidates are required to pass a drug test before beginning employment Job Keywords: Healthcare, Financial Services, Ideation, Insurance, SQL, SAS, Optum Telecommuter, Remote, Work from Home, Minnetonka, MN, Minnesota We want you to know what our hiring process looks like. Watch the video and find out what to expect along the way. Getting an internship UnitedHealth Group is not only an opportunity to do something extraordinary with your summer, it's also an opportunity to land your first full time job. Most college students know the last internship before graduation is perhap--- So you've searched our open jobs and are ready to submit your application. But how do you know if a specific job is right for you? Here are four questions to consider before applying--- Here at UnitedHealth Group, we've adjusted the way we work as a result of COVID-19. At this moment, 90% of our non-clinical staff is working from home around the globe, prior to COVID-19 42% of our non-clinical staff was already working from home. Th--- UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-800-561-0861 and press or say 1 for Applicant to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc. 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: UnitedHealth Group, Minnetonka , Payment Integrity, Associate Healthcare Econ Director - Provider - Telecommute, Healthcare , Minnetonka, Minnesota

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