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Senior Claims Business Process Analyst - US Telecommute

UnitedHealth Group


Location:
Dallas, TX
Date:
05/26/2017
Job Code:
1729607
Apply on the Company Site
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Job Details


Senior Claims Business Process Analyst - US Telecommute(Job Number:706353)
Description

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. PBM 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:
  • Perform capacity planning and reporting
  • Claims related and business system analysis
  • Responsible for all aspects of quality assurance
  • Create and edit requirements, specifications, cost benefit analysis and recommendations to proposed solutions
  • Facilitate development of process documentation
  • Generally work is self-directed and not prescribed.
  • Works with less structured, more complex issues.
  • Serves as a resource to others.
  • Assesses and interprets customer needs and requirements.
  • Direct supervision of staff
  • Identifies solutions to non-standard requests and problems.
  • Solves moderately complex problems and/or conducts moderately complex analyses.
  • Works with minimal guidance; seeks guidance on only the most complex tasks.
  • Translates concepts into practice.
  • Provides explanations and information to others on difficult issues.
  • Coaches, provides feedback, and guides others.
  • Acts as a resource for others with less experience.


Job Claim Business Process
Primary Location US-TX-Dallas
Other Location US-FL-Tampa, US-CT-Hartford, US-AZ-Phoenix, US-MN-Minneapolis
Organization OptumRx UHC Relations
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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