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Administrative Law Judge Analysts - US Telecommute

UnitedHealth Group

Minneapolis, MN
Job Code:
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Job Details

745826 Administrative Law Judge Analysts US Telecommute

Administrative Law Judge Analysts - US Telecommute (745826)

Position Description

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

Position is responsible for maintaining and or improving Medicare Part C & D ALJ / MAC Timeliness and Fairness Star Ratings. Reviews production and operation reports and resolves problems to prevent Star Ratings failures.  

Primary Responsibilities:
  • Generally work with minimal guidance; seeks guidance on only the most complex tasks
  • Analyze and identify trends and provides findings to Management
  • Preparing case position statements
  • Consistently meet established productivity, schedule adherence , and quality standards
  • Develops plans to meet short - term objectives
  • Identifies and resolves operational problems using defined processes, expertise and judgment
  • Decisions are guided by policies, procedures and business plan
  • Product, service or process decisions are most likely to impact individual employees and / or customers (internal or external)
  • Conduct weekly ALJ Committee meetings.

  • HS Diploma / GED or higher
  • 2+ years of experience working with Medicare Claims and Regulations
  • Understanding of Medicare Regulations
  • Medicare Appeals Experience
  • 1+ years of working with Medicare case position statements for presentation to ALJ Hearings
Take the next step, online at:

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in healthcare. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our Healthcare system. Ready? It's time 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.

Key Words: UHG, Administrative Law Judge Analysts, ALJ/MAC Analysts, Medicare Appeals Council

Job Details

  • Contest Number745826
  • Job TitleAdministrative Law Judge Analysts - US Telecommute
  • Job FamilyClaims
  • Business SegmentUHC Benefit Ops - MandR Ops

Job Location Information

  • Minneapolis, MN
    United States
    North America
  • Other LocationsHartford, CT
    Dallas, TX
    Phoenix, AZ
    Tampa, FL

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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