UnitedHealth Group Manager Claims – US Telecommute in Dallas, Texas
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.SMThe Claims Operations Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department.
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 unitsManage 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.Must be available during regular business hoursManages and is accountable for professional employees and / or supervisors.Impact of work is most often at the local level. Requirements:Associate's Degree (or higher)3+ years supervisory / managerial experience in claims adjudication or customer service2+ years managing relationships with clients and / or vendors2+ years managing budgets, process improvement and quality assuranceAssets:Understanding of claims processing systems5+ years of healthcare claims leadership experience2+ years of experience developing presentations to include chartingSenior Level Supervisory / Managerial experience in medical claimsCareers with Optum.
Here's the idea.
We built an entire organization around one giant objective; make the health system work better for everyone.
So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.
For you, that means working on high performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SMDiversity 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: US telecommute; Management; Healthcare; Optum; Leadership; Client Relations; Relationship management; Claims; Medical Claims; UHG; Insurance b76f6121-3636-498a-91b8-b5bba03ac073
Manager Claims – US Telecommute TX-Dallas 706429