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Senior Claims Business Process Analyst - Any UHG Office

UnitedHealth Group

Minneapolis, MN
Job Code:
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Job Details

Senior Claims Business Process Analyst - Any UHG Office(Job Number:726544)

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

Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes and claim business rules. Include claims systems utilization, capacity analyses / planning and reporting, claims - related business and systems analysis. Ensure data integrity, data security and process optimization.

Primary Responsibilities:

    • Partner with Project Management teams to identify, test, and implement requirements for successful go-live initiatives, perform root cause analysis post implementation and support remediation activities
    • Participate in cross functional meetings for miscellaneous project initiatives: review requirements, define requirements, trouble shoot challenges during development, conduct UAT testing to confirm requirements have been satisfied.
    • Support multiple work-plans to completion ensuring accuracy of deliverables.
    • Validate impacts to end to end process
    • Escalate remediation efforts to appropriate teams to secure resolution
    • Participate in various projects to implement change, secure commitment from cross functional work teams to meet deliverable requirements
    • Develop task plans and manage workload
    • Participate in project work groups that include impact to global claims operations
    • Interface with Readiness work group to understand implications of CMS regulations changes and the impact to claims operations.
    • Operational Analysis
    • Cost benefit analysis
    • Strong communication skills: verbal and written.

    Job Claim Business Process
    Primary Location US-MN-Minneapolis
    Other Location US-FL-Tampa, US-TX-Dallas, US-CT-Hartford, US-AZ-Phoenix
    Organization M&R Claims & Adjustments
    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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