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Recovery and Resolution Manager - Eden Prairie, MN

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1753654
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Job Details


Recovery and Resolution Manager - Eden Prairie, MN(Job Number:717187)
Description

Position Description:

You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.SM

The Recovery and Resolution Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department.

Role responsibilities include managing the day to day activities of direct reports by monitoring attendance, productivity, utilization, throughput, receipts, scorecards, dashboards and quality to ensure that all metrics and TATs are met in order to comply with SLAs. Facilitate team meetings, communicate daily/weekly results, coach and develop the staff.

Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.

Primary Responsibilities:

  • Oversee daily operations of multiple levels of staff and multiple functions across one or more business units.
  • Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actuals).
  • Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
  • Authorize the appropriate payment or refers claims to investigators for further review.
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
  • Lead project management and implementation initiatives.

Job Claim Operations
Primary Location US-MN-Eden Prairie
Other Location 
Organization Optum Ops-Payment Integrity
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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