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Senior Claims Business Process Analyst (Workforce Management) - Wauwatosa, WI or Horsham, PA

UnitedHealth Group


Location:
Horsham, PA
Date:
04/28/2017
Job Code:
1741030
Apply on the Company Site
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Job Details


Senior Claims Business Process Analyst (Workforce Management) - Wauwatosa, WI or Horsham, PA(Job Number:711371)
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.

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.

Positions in this function are responsible for all related aspects of claim system processes and claim business rules. Includes claims systems utilization, capacity analyses/planning and reporting. Includes claims-related business and systems analysis. Ensures data integrity, data security and process optimization. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

Primary Responsibilities:
  • Design, develop and continuously improve volume forecasting models and tools across various business units
  • Ability to develop reports and work management tools as needed by the Leadership Team
  • Ad hoc analyses (both simple and complex) and projects to assist in making appropriate business decisions and improvements
  • Support both internal and external reporting around our metrics and Service Level Agreements
  • Collaborate with Leadership Team to identify opportunities for improvement and best use of resources
  • Advise Leadership Team on ways to balance work volumes
  • Advise Leadership Team regarding forecasting / planning based on actual experience and trend analysis
  • Anticipate the business needs and proactively develop ideas and solutions to meet them
  • Provide explanations, information and direction
  • Analyzes and investigates
  • Provides explanations and interpretations within area of expertise

Job Claim Business Process
Primary Location US-PA-Horsham
Other Location US-WI-Wauwatosa
Organization M&R Insurance Solutions
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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