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Eligibilty Support Analyst - Wausau, WI

UnitedHealth Group


Location:
Wausau, WI
Date:
03/24/2017
Job Code:
1736777
Apply on the Company Site
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Job Details


Eligibilty Support Analyst - Wausau, WI(Job Number:709653)
Description

Position Description:

 

Working in Operations at UnitedHealth Group is 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

The Eligibilty Support Analyst is responsible for the installation of assigned accounts. This position is responsible for overall employer contract loading using various databases and/or source documents. You may research installation issues and develop customer specific resolutions. This also may include auditing contract loads for adherence to quality measures and reporting standards.

This position is responsible for handling Electronic Eligibility Files and supporting the UMR Enrollment System. Will work directly with external and internal customers including vendors. Responsible for analyzing system, manual and workflow processes and making appropriate recommendations for improvement. Manage improvement from recommendation to completion, by creating specifications, test plans, working with the IT area, testing, production review and implementing new procedures or training materials

This position handles the loading and support of all eligibility files for new and existing customers for UMR. It handles outgoing eligibility files for ID card, pharmacy vendors and many other vendors. This position supports the Enrollment system and process and all projects supporting this system, which include mandates including the HIPAA 834 and 270/271 transactions.

Position in this function are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.

Primary Responsibilities:

  • This position is responsible for handling Electronic Eligibility Files and supporting the UMR Enrollment System
  • Will work directly with external and internal customers including vendors
  • Responsible for analyzing system, manual and workflow processes and making appropriate recommendations for improvement
  • Manage improvement from recommendation to completion, by creating specifications, test plans, working with the IT area, testing, production review and implementing new procedures or training materials
  • Analyzes and investigates.
  • Provides explanations and interpretations within area of expertise.

Job Empl Contract Install & Implem
Primary Location US-WI-Wausau
Other Location 
Organization E&I UMR
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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