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Senior Enrollment Quality / Audit Representative - Wausau, WI; Cypress, CA; or Irvine, CA

UnitedHealth Group


Location:
Wausau, WI
Date:
04/27/2018
2018-04-272018-05-26
Job Code:
760426
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Job Details

760426 Senior Enrollment Quality Audit Representative Wausau WI Cypress CA or Irvine CA

Senior Enrollment Quality / Audit Representative - Wausau, WI; Cypress, CA; or Irvine, CA (760426)

Position Description

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.

Working in Operations at UnitedHealth Group is 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.

Primary Responsibilities:
  • Complete quality review of new and updated benefit plans and set-up for accuracy
  • Analyze data, identify defects and coding inconsistencies, and provide feedback as necessary
  • Document work performed and audit results based on client elections and predetermined standards and guidelines
  • Perform other duties as assigned
Required Qualifications:
  • Bachelor's Degree (or Higher) or High School Diploma / GED with 2+ years in the healthcare industry
  • 1+ years of experience working within Microsoft Excel with the ability to filter and sort
  • Data analysis experience
Preferred Qualifications:
  • Quality auditing experience
  • Knowledge of government programs such as Medicare or Medicaid
  • Previous RxCLAIM experience
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life’s best work.

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, UnitedHealth Care, Health Care, Auditing, Microsoft Excel, RxCLAIM, Data Analysis

Job Details

  • Contest Number760426
  • Job TitleSenior Enrollment Quality / Audit Representative - Wausau, WI; Cypress, CA; or Irvine, CA
  • Job FamilyEnroll and Empl Contract Install
  • Business SegmentOptumRx

Job Location Information

  • Wausau, WI
    United States
    North America
  • Other LocationsCypress, CA
    Irvine, CA

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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