Manager Claims US Telecommute
- Employer
- UnitedHealth Group
- Location
- Tampa, Florida
- Salary
- Open
- Posted
- Sep 03, 2017
- Closes
- Oct 30, 2017
- Ref
- 4505000532#FL--J2CBackfill.1
- Industry
- Professional
- Category
- Skilled Labor Trades
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 17 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 & Performance.
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.
The 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 Oversee daily operations of multiple levels of staff and multiple functions across one or more business units.
Manage 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 hours Manages and is accountable for professional employees and / or supervisors.
Impact of work is most often at the local level.
Required Associates Degree or higher Experience with medical coding 3+ years of supervisory / managerial experience in claims adjudication or customer service 2+ years of managing relationships with clients and / or vendors 2+ years of managing budgets, process improvement and quality assurance Preferred Understanding of claims processing systems 5+ years of healthcare claims leadership experience 2+ years of experience developing presentations to include charting Senior Level Supervisory / Managerial experience in medical claims Take the next step, online at: www.
yourlifesbestwork.
com Careers 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.
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: US telecommute, Management, Healthcare, Optum, Leadership, Client Relations, Relationship Management, Claims, Medical Claims, UHG, Insurance
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 17 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 & Performance.
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.
The 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 Oversee daily operations of multiple levels of staff and multiple functions across one or more business units.
Manage 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 hours Manages and is accountable for professional employees and / or supervisors.
Impact of work is most often at the local level.
Required Associates Degree or higher Experience with medical coding 3+ years of supervisory / managerial experience in claims adjudication or customer service 2+ years of managing relationships with clients and / or vendors 2+ years of managing budgets, process improvement and quality assurance Preferred Understanding of claims processing systems 5+ years of healthcare claims leadership experience 2+ years of experience developing presentations to include charting Senior Level Supervisory / Managerial experience in medical claims Take the next step, online at: www.
yourlifesbestwork.
com Careers 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.
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: US telecommute, Management, Healthcare, Optum, Leadership, Client Relations, Relationship Management, Claims, Medical Claims, UHG, Insurance