Critical Resolution Team – National Remote
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At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
This position is accountable for Group Medicare & Retiree global issue remediation which requires operational fixes for claims, calls, billing, eligibility, appeals, fulfillment, benefit setup and other operational areas. As a member of the Group Retiree Critical Resolution Team you are a single point of contact for Client Management, Group Retiree Operations and Benefit Operations team. This role is accountable for managing the end to end resolution of global issues for all Employer Group clients that may be impacted. This includes identifying impact to the member and client, impact to operational areas, working with operation partners to develop and drive a remediation plan to completion, identify root cause, implementing additional controls as needed, and communicate progress to stakeholders
This position is full-time (40 hours/week), Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm.
We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Provide project management skills to focus on our most challenging and complex opportunities
- Establish credibility with account management teams and demonstrate understanding of client business requirements
- Candidate needs the ability to diagnose and define root cause issues
- Candidate needs to enjoy and have a proven track record to handle multiple issues at one time
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of account management experience (i.e. working with clients, having clients you work with; client interaction)
- 1+ years of project coordination experience and / OR process improvement experience
- Basic knowledge of Operations system and procedures and resolution escalation paths (e.g. workflows, claims processing systems, claims payment methodology)
- Experience with Microsoft Excel (formulas, creating basic pivot tables, v-look up exposure)
- Presently employed within UHC – Client Experience and Operations (CEO)
- Ability to work between the hours of 8:00 am – 5:00 pm from Monday – Friday
Preferred Qualifications:
- 3+ years of experience in Medicare Group Retiree
- Medicare Group Retiree claims, billing, customer service and / OR eligibility experience
- Intermediate level of skill with Microsoft Excel – comfortable with doing functions such as formulas, creating basic pivot tables, exposure to v- look ups, etc
- Intermediate level of skill with ACET for tracking and reporting
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Candidate requires skills to influence, and partner with, operational teams to correct urgent and highly escalated client issues quickly and with quality
- Candidate needs both written and oral communication skills to report to Client Management and Operational leaders on progress and status of issues
- Candidate needs to enjoy and proven track record to handle multiple issues at one time
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO
Additional Job Detail Information
Requisition Number 2285523
Business Segment UHC Benefit Ops – Core Svcs
Employee Status Regular
Job Level Individual Contributor
Travel No
Is_Internal:
Internal
Additional Locations
Phoenix, AZ, US
Hartford, CT, US
Tampa, FL, US
Minneapolis, MN, US
Overtime Status Non-exempt
Schedule Full-time
Shift Day Job
Telecommuter Position Yes
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