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Application Rule Development Analyst - Telecommute

UnitedHealth Group

St Petersburg, FL
Job Code:
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Job Details

Application Rule Development Analyst - Telecommute(Job Number:713343)

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)


The Provider Reimbursement Specialist is responsible for developing programs, policies and strategies to ensure that contracted rates and reimbursement policies are applied accurately for company affiliates. Provider Reimbursement Specialists will analyze claims, pre and post payment, to ensure contracts and reimbursement policies and procedures are priced accurately; review claim disputes to verify correct pricing and analyze claim inquiry data to determine root cause of errors; recommend system changes, training and process improvements to prevent future errors; work with both internal and external customers to identify and resolve complex problems; assist company affiliates with initial deployment and ongoing support of systems and processes to leverage national network rates and policies. Other responsibilities include fee schedule and contract template maintenance.


Primary Responsibilities:

  • Use pertinent data and facts to identify and solve a range of problems within area of expertise

  • Investigate non-standard requests and problems, with some assistance from others

  • Work exclusively within a specific knowledge area

  • Prioritize and organize own work to meet deadlines

  • Provide explanations and information to others on topics within area of expertise

  • Work with minimal supervision/assistance


Job Provider Reimbursement
Primary Location US-FL-St Petersburg
Other Location United States
Organization Network Admin & Efficiencies
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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