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Health Plan Operations Clerk - Southfield, MI

UnitedHealth Group

Southfield, MI
Job Code:
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Job Details

745953 Health Plan Operations Clerk Southfield MI

Health Plan Operations Clerk - Southfield, MI (745953)

Position Description

Position Description:

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

Position is responsible for entering and monitoring state defined Health Risk Assessments for our Healthy Michigan Plan. This is a State requirement that also has performance metrics around it. Position is responsible for entering data, performing mailings, answering questions with internal/external contacts regarding the HRA process, incentives, etc.

Positions in this function include those responsible for providing process and operational support to the functions within Business Operations Family. Positions in this function may also be responsible for quality reporting, analysis and audits, and for developing plans and programs to support continuous quality improvement using applicable tools. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

Primary Responsibilities:
  • Extensive work experience within own function.
  • Work is frequently completed without established procedures.
  • Works independently.
  • May act as a resource for others.
  • May coordinate others' activities.
  • Entering and monitoring state defined Health Risk Assessments for our Healthy Michigan Plan. Position is responsible for Entering data, performing mailings, answering questions with internal/external customers.
  • Prepares source data for computer entry by compiling and sorting information; establishing entry priorities.
  • Processes documents by reviewing data for deficiencies; resolving discrepancies by using standard procedures or returning incomplete documents to the providers for resolution.
  • Enters member data by inputting alphabetic and numeric information on keyboard according to screen format.
  • Maintains data entry requirements by following data program techniques and procedures.
Required Qualifications:
  • High School Diploma / GED or higher
  • 6+ months professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
  • Experience working within the Healthcare Industry or Healthcare Insurance field

Preferred Qualifications:

  • Professional experience in a clerical or administrative support related role
  • Working Knowledge of Medical Terminology to communicate with members and providers
  • Experience working with Medicare and / or Medicaid Services
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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.

Keywords: UnitedHealth Group, Optum, healthcare, Business Operations Coordinator, Healthcare Insurance, Medicare, Medicaid, Medical Terminology, Outlook, Word, Excel

Job Details

  • Contest Number745953
  • Job TitleHealth Plan Operations Clerk - Southfield, MI
  • Job FamilyBusiness Operations
  • Business SegmentCommunity and State

Job Location Information

  • Southfield, MI
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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